05D0584781 CLIA NUMBER - HILLSIDE HOUSE

Laboratory Demographics

CLIA Code: 05D0584781
Facility Name: HILLSIDE HOUSE
Facility Address: 1235 VERONICA SPRINGS RD
SANTA BARBARA, CA
ZIP 93105
Facility Phone: 805 687-0788
Facility Type: Intermediate Care Facility for Mentally Retarded
Facility Type: Waiver
Lab Director: BARBARA HRACH
NPI Number: 1467653303
Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	05D0584781
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	HILLSIDE HOUSE
Street	1235 VERONICA SPRINGS RD
City	SANTA BARBARA
State	CA
ZIP	93105
Phone	805 687-0788
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	9/1/2024
Certificate Expiration Date	8/31/2026
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	BARBARA HRACH

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