05D2311596 CLIA NUMBER - CENTRAL COAST VEIN AND VASCULAR

Laboratory Demographics

  • CLIA Code: 05D2311596
  • Facility Name: CENTRAL COAST VEIN AND VASCULAR
  • Facility Address: 880 OAK PARK BLVD STE 201
    ARROYO GRANDE, CA
    ZIP 93420
  • Facility Phone: 805 473-8346
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Accreditation
  • Lab Director: DR. KENNITH SPEARMAN
  • NPI Number: 1508249202
  • Taxonomy: 2085R0204X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 05D2311596
LAB Type Ambulatory Surgery Center
Facility Name CENTRAL COAST VEIN AND VASCULAR
Street 880 OAK PARK BLVD STE 201
City ARROYO GRANDE
State CA
ZIP 93420
Phone 805 473-8346
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. KENNITH SPEARMAN

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