05D2083527 CLIA NUMBER - ADVENTIST HEALTH PHYSICIAN NETWORK

Laboratory Demographics

  • CLIA Code: 05D2083527
  • Facility Name: ADVENTIST HEALTH PHYSICIAN NETWORK
  • Facility Address: 35 CASA ST STE 220
    SAN LUIS OBISPO, CA
    ZIP 93405
  • Facility Phone: 805 792-2112
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: HEIDI SUNGURLU
  • NPI Number: 1750716247
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D2083527
LAB Type Physician Office
Facility Name ADVENTIST HEALTH PHYSICIAN NETWORK
Street 35 CASA ST STE 220
City SAN LUIS OBISPO
State CA
ZIP 93405
Phone 805 792-2112
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Physician Office
Lab Director HEIDI SUNGURLU

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