Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Community Health Clinical Laboratory LLC

Organization Clinical Medical Laboratory · NPI 1679109995

Community Health Clinical Laboratory LLC is a Clinical Medical Laboratory in Nipomo, California. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

150 Tejas Pl Bldg B Ste A
Nipomo, CA 93444
Phone: (805) 338-0460
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1679109995
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexandre Feoktistov — President · (805) 338-0460
NPI enumeratedMarch 18, 2020
Last updated in NPPESMarch 19, 2020
Certification dateMarch 19, 2020
Mailing address150 Tejas Place, Bldg. B Suite A, Nipomo, CA 93444