05D0587427 CLIA NUMBER - HIMAT TANK MD

Laboratory Demographics

CLIA Number: 05D0587427

Facility Name: HIMAT TANK MD

Facility Address:
1505 SHEPARD DR STE 102
SANTA MARIA, CA
ZIP 93454
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Facility Phone Number: (805) 928-9300

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1396761003

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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

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