05D2314041 CLIA NUMBER - AGILE OCCUPATIONAL MEDICINE - BLANCO

Laboratory Demographics

  • CLIA Code: 05D2314041
  • Facility Name: AGILE OCCUPATIONAL MEDICINE - BLANCO
  • Facility Address: 951 BLANCO CIR STE B
    SALINAS, CA
    ZIP 93901
  • Facility Phone: 760 828-5681
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MINH NGUYEN
  • NPI Number: 1043901077
  • Taxonomy: 261QX0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2314041
LAB Type Physician Office
Facility Name AGILE OCCUPATIONAL MEDICINE - BLANCO
Street 951 BLANCO CIR STE B
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 11/12/2024
Certificate Expiration Date 11/11/2026
Facility Type Physician Office
Lab Director MINH NGUYEN

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