05D2151766 CLIA NUMBER - ADVENTIST HEALTH MEDICAL GROUP AEROVISTA

Laboratory Demographics

  • CLIA Code: 05D2151766
  • Facility Name: ADVENTIST HEALTH MEDICAL GROUP AEROVISTA
  • Facility Address: 892 AEROVISTA PL STE 130
    SAN LUIS OBISPO, CA
    ZIP 93401
  • Facility Phone: 805 395-3277
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. THOMAS T. NGUYEN
  • NPI Number: 1437408119
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 05D2151766
LAB Type Physician Office
Facility Name ADVENTIST HEALTH MEDICAL GROUP AEROVISTA
Street 892 AEROVISTA PL STE 130
City SAN LUIS OBISPO
State CA
ZIP 93401
Phone 805 395-3277
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2024
Certificate Expiration Date 7/25/2026
Facility Type Physician Office
Lab Director DR. THOMAS T. NGUYEN

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