05D2142563 CLIA NUMBER - MAREENI T STANISLAUS MD A MEDICAL CORPORATION

Laboratory Demographics

CLIA Number: 05D2142563

Facility Name: MAREENI T STANISLAUS MD A MEDICAL CORPORATION

Facility Address:
350 POSADA LANE STE 201
TEMPLETON, CA
ZIP 93465
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Facility Phone Number: 805 434-3000

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1922523943

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	05D2142563
LAB Type	Physician Office
Facility Name	MAREENI T STANISLAUS MD A MEDICAL CORPORATION
Street	350 POSADA LANE STE 201
City	TEMPLETON
State	CA
ZIP	93465
Phone	805 434-3000
CertificateType	3
CertificateEffectiveDate	1/12/2024
CertificateExpirationDate	1/11/2026
FacilityType	PPMP

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