05D2039301 CLIA NUMBER - HOLLISTER MULTI SPECIALTY CENTER

Laboratory Demographics

  • CLIA Code: 05D2039301
  • Facility Name: HOLLISTER MULTI SPECIALTY CENTER
  • Facility Address: 890 SUNSET DR STE A 2-A
    HOLLISTER, CA
    ZIP 95023
  • Facility Phone: 831 635-9788
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BERNADETTE D. ENDEREZ
  • NPI Number: 1295905321
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2039301
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HOLLISTER MULTI SPECIALTY CENTER
Street 890 SUNSET DR STE A 2-A
City HOLLISTER
State CA
ZIP 95023
Phone 831 635-9788
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2024
Certificate Expiration Date 4/4/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director BERNADETTE D. ENDEREZ

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