05D2266234 CLIA NUMBER - MEMORIAL HOSPITAL RURAL LOS BANOS HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 05D2266234
  • Facility Name: MEMORIAL HOSPITAL RURAL LOS BANOS HEALTH CLINIC
  • Facility Address: 1253 W I STREET
    LOS BANOS, CA
    ZIP 93635
  • Facility Phone: 209 710-6333
  • Facility Type: Other - RURAL HEALTH CLINIC
  • Facility Type: Waiver
  • Lab Director: SCOTT SILVEIRA
  • NPI Number: 1528202090
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2266234
LAB Type Other - RURAL HEALTH CLINIC
Facility Name MEMORIAL HOSPITAL RURAL LOS BANOS HEALTH CLINIC
Street 1253 W I STREET
City LOS BANOS
State CA
ZIP 93635
Phone 209 710-6333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Other - RURAL HEALTH CLINIC
Lab Director SCOTT SILVEIRA

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