05D2319463 CLIA NUMBER - JOHNNY BLANCHARD MD INC

Laboratory Demographics

  • CLIA Code: 05D2319463
  • Facility Name: JOHNNY BLANCHARD MD INC
  • Facility Address: 5 LOWER RAGSDALE DRIVE
    MONTEREY, CA
    ZIP 93940
  • Facility Phone: 626 202-4613
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHNNY A. BLANCHARD
  • NPI Number: 1518791151
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2319463
LAB Type Physician Office
Facility Name JOHNNY BLANCHARD MD INC
Street 5 LOWER RAGSDALE DRIVE
City MONTEREY
State CA
ZIP 93940
Phone 626 202-4613
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Physician Office
Lab Director JOHNNY A. BLANCHARD

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