05D2182547 CLIA NUMBER - ATHENA MEDICAL GROUP

Laboratory Demographics

CLIA Number: 05D2182547

Facility Name: ATHENA MEDICAL GROUP

Facility Address:
515 ALAMEDA AVENUE SUITE D
SALINAS, CA
ZIP 93901
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Facility Phone Number: 831 800-1557

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1396178067

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	05D2182547
LAB Type	Physician Office
Facility Name	ATHENA MEDICAL GROUP
Street	515 ALAMEDA AVENUE SUITE D
City	SALINAS
State	CA
ZIP	93901
Phone	831 800-1557
CertificateType	4
CertificateEffectiveDate	4/22/2024
CertificateExpirationDate	4/21/2026
FacilityType	Waiver

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