05D0587395 CLIA NUMBER - BRUCE A OURIEFF MD

Laboratory Demographics

CLIA Number: 05D0587395

Facility Name: BRUCE A OURIEFF MD

Facility Address:
821 E CHAPEL STREET SUITE 201
SANTA MARIA, CA
ZIP 93454
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Facility Phone Number: (805) 922-5749

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1417149006

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name Field Value
CLIA Number 05D0587395
LAB Type PHYSICIAN OFFICE
Facility Name BRUCE A OURIEFF MD
Street 821 E CHAPEL STREET SUITE 201
City SANTA MARIA
State CA
ZIP 93454
Phone (805) 922-5749

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This page was last updated on: 1/7/2022