05D0587427 CLIA NUMBER - HIMAT TANK MD

Laboratory Demographics

  • CLIA Code: 05D0587427
  • Facility Name: HIMAT TANK MD
  • Facility Address: 1505 SHEPARD DR STE 102
    SANTA MARIA, CA
    ZIP 93454
  • Facility Phone: 805 928-9300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HIMAT G. TANK
  • NPI Number: 1396761003
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0587427
LAB Type Physician Office
Facility Name HIMAT TANK MD
Street 1505 SHEPARD DR STE 102
City SANTA MARIA
State CA
ZIP 93454
Phone 805 928-9300
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 Physician Office
Lab Director HIMAT G. TANK

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This page was last updated on: 6/4/2025