05D2161743 CLIA NUMBER - OUTPATIENT INFUSION CENTER

Laboratory Demographics

CLIA Number: 05D2161743

Facility Name: OUTPATIENT INFUSION CENTER

Facility Address:
515 EAST ROMIE LANE
SALINAS, CA
ZIP 93901
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Facility Phone Number: 831 759-3064

Facility Type: Other - OUTPATIENT INFUSION

Certificate Type: Waiver

NPI Number: 1104239052

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2161743
LAB Type	Other - OUTPATIENT INFUSION
Facility Name	OUTPATIENT INFUSION CENTER
Street	515 EAST ROMIE LANE
City	SALINAS
State	CA
ZIP	93901
Phone	831 759-3064
CertificateType	4
CertificateEffectiveDate	2/8/2023
CertificateExpirationDate	2/7/2025
FacilityType	Waiver

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