05D0587418 CLIA NUMBER - THOMAS M DAWES JR MD A MEDICAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D0587418
  • Facility Name: THOMAS M DAWES JR MD A MEDICAL CORPORATION
  • Facility Address: 116 S PALISADE DRIVE, SUITE 210
    SANTA MARIA, CA
    ZIP 93454
  • Facility Phone: 805 934-2488
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS M. DAWES
  • NPI Number: 1386668473
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0587418
LAB Type Physician Office
Facility Name THOMAS M DAWES JR MD A MEDICAL CORPORATION
Street 116 S PALISADE DRIVE, SUITE 210
City SANTA MARIA
State CA
ZIP 93454
Phone 805 934-2488
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2025
Certificate Expiration Date 3/1/2027
Facility Type Physician Office
Lab Director THOMAS M. DAWES

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