05D2295152 CLIA NUMBER - AGILE OCCUPATIONAL MEDICINE PC

Laboratory Demographics

  • CLIA Code: 05D2295152
  • Facility Name: AGILE OCCUPATIONAL MEDICINE PC
  • Facility Address: 947 BLANCO CIRCLE SUITE A
    SALINAS, CA
    ZIP 93901
  • Facility Phone: 760 828-5681
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MINH NGUYEN
  • NPI Number: 1982394318
  • Taxonomy: 261QX0100X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2295152
LAB Type Physician Office
Facility Name AGILE OCCUPATIONAL MEDICINE PC
Street 947 BLANCO CIRCLE SUITE A
City SALINAS
State CA
ZIP 93901
Phone 760 828-5681
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Physician Office
Lab Director MINH NGUYEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025