05D2057856 CLIA NUMBER - LOMPOC HEALTH NORTH H STREET CENTER

Laboratory Demographics

  • CLIA Code: 05D2057856
  • Facility Name: LOMPOC HEALTH NORTH H STREET CENTER
  • Facility Address: 1225 NORTH H STREET
    LOMPOC, CA
    ZIP 93436
  • Facility Phone: 805 737-3325
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KALI L. FREEMAN MD
  • NPI Number: 1043377088
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2057856
LAB Type Physician Office
Facility Name LOMPOC HEALTH NORTH H STREET CENTER
Street 1225 NORTH H STREET
City LOMPOC
State CA
ZIP 93436
Phone 805 737-3325
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Physician Office
Lab Director KALI L. FREEMAN MD

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