05D2225442 CLIA NUMBER - CALIFORNIA MEDICAL SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 05D2225442
  • Facility Name: CALIFORNIA MEDICAL SURGERY CENTER, LLC
  • Facility Address: 620 CALIFORNIA BLVD STE M
    SAN LUIS OBISPO, CA
    ZIP 93401
  • Facility Phone: 805 550-4242
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: AHMAD AMIR
  • NPI Number: 1821112475
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 05D2225442
LAB Type Ambulatory Surgery Center
Facility Name CALIFORNIA MEDICAL SURGERY CENTER, LLC
Street 620 CALIFORNIA BLVD STE M
City SAN LUIS OBISPO
State CA
ZIP 93401
Phone 805 550-4242
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Ambulatory Surgery Center
Lab Director AHMAD AMIR

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