05D1094915 CLIA NUMBER - PACIFIC PAIN PHYSICIANS

Laboratory Demographics

  • CLIA Code: 05D1094915
  • Facility Name: PACIFIC PAIN PHYSICIANS
  • Facility Address: 6717 MORRO RD
    ATASCADERO, CA
    ZIP 93422
  • Facility Phone: 805 563-0363
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RALPH D. MOZINGO
  • NPI Number: 1558858035
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1094915
LAB Type Physician Office
Facility Name PACIFIC PAIN PHYSICIANS
Street 6717 MORRO RD
City ATASCADERO
State CA
ZIP 93422
Phone 805 563-0363
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type Physician Office
Lab Director RALPH D. MOZINGO

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This page was last updated on: 9/29/2025