05D2083781 CLIA NUMBER - BISHOP'S PEAK WOMEN'S HEALTH CENTER

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Laboratory Demographics

CLIA Number: 05D2083781

Facility Name: BISHOP'S PEAK WOMEN'S HEALTH CENTER

Facility Address:
1941 JOHNSON AVE STE 301
SAN LUIS OBISPO, CA
ZIP 93401
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Facility Phone Number: 805 786-4111

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1760896104

Taxonomy: 261QC1500X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2083781
LAB Type	Community Clinic
Facility Name	BISHOP'S PEAK WOMEN'S HEALTH CENTER
Street	1941 JOHNSON AVE STE 301
City	SAN LUIS OBISPO
State	CA
ZIP	93401
Phone	805 786-4111
CertificateType	3
CertificateEffectiveDate	9/11/2022
CertificateExpirationDate	9/10/2024
FacilityType	PPMP

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