05D2091118 CLIA NUMBER - BENNY L WRIGHT, DO

Laboratory Demographics

  • CLIA Code: 05D2091118
  • Facility Name: BENNY L WRIGHT, DO
  • Facility Address: 502 WASHINGTON AVE
    LOS BANOS, CA
    ZIP 93635
  • Facility Phone: 209 826-4771
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BENNY L. WRIGHT, DO
  • NPI Number: 1992894539
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D2091118
LAB Type Physician Office
Facility Name BENNY L WRIGHT, DO
Street 502 WASHINGTON AVE
City LOS BANOS
State CA
ZIP 93635
Phone 209 826-4771
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 2/5/2025
Certificate Expiration Date 2/4/2027
Facility Type Physician Office
Lab Director BENNY L. WRIGHT, DO

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