05D2071357 CLIA NUMBER - HOLLISTER PEDIATRICS

Laboratory Demographics

  • CLIA Code: 05D2071357
  • Facility Name: HOLLISTER PEDIATRICS
  • Facility Address: 930 SUNNYSLOPE RD, #E3
    HOLLISTER, CA
    ZIP 95023
  • Facility Phone: 831 630-1477
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HUE NGUYEN-NGO
  • NPI Number: 1982879722
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D2071357
LAB Type Physician Office
Facility Name HOLLISTER PEDIATRICS
Street 930 SUNNYSLOPE RD, #E3
City HOLLISTER
State CA
ZIP 95023
Phone 831 630-1477
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Physician Office
Lab Director HUE NGUYEN-NGO

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