05D2083874 CLIA NUMBER - TEMPLETON SPECIALTY CENTER

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Laboratory Demographics

CLIA Number: 05D2083874

Facility Name: TEMPLETON SPECIALTY CENTER

Facility Address:
350 POSADA LN STE 202
TEMPLETON, CA
ZIP 93465
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Facility Phone Number: 805 994-5485

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1336553767

Taxonomy: 261QC1500X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2083874
LAB Type	Community Clinic
Facility Name	TEMPLETON SPECIALTY CENTER
Street	350 POSADA LN STE 202
City	TEMPLETON
State	CA
ZIP	93465
Phone	805 994-5485
CertificateType	3
CertificateEffectiveDate	9/15/2022
CertificateExpirationDate	9/14/2024
FacilityType	PPMP

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