05D0587426 CLIA NUMBER - CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES OF SANTA MARIA, INC

Laboratory Demographics

  • CLIA Code: 05D0587426
  • Facility Name: CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES OF SANTA MARIA, INC
  • Facility Address: 915 E STOWELL RD STE B
    SANTA MARIA, CA
    ZIP 93454
  • Facility Phone: 805 938-7444
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN P. OKERBLOM
  • NPI Number: 1144605288
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 05D0587426
LAB Type Physician Office
Facility Name CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES OF SANTA MARIA, INC
Street 915 E STOWELL RD STE B
City SANTA MARIA
State CA
ZIP 93454
Phone 805 938-7444
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JOHN P. OKERBLOM

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