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05D2039301 CLIA NUMBER - HOLLISTER MULTI SPECIALTY CENTER

Laboratory Demographics

CLIA Number: 05D2039301

Facility Name: HOLLISTER MULTI SPECIALTY CENTER

Facility Address:
890 SUNSET DR STE A 2-A
HOLLISTER, CA
ZIP 95023
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Facility Phone Number: 831 635-9788

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1295905321

Taxonomy: 261QP2000X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

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
CertificateType 4
CertificateEffectiveDate 4/5/2024
CertificateExpirationDate 4/4/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024