05D0643516 CLIA NUMBER - MARIAN EXTENDED CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0643516
  • Facility Name: MARIAN EXTENDED CARE CENTER
  • Facility Address: 1530 CYPRESS WAY
    SANTA MARIA, CA
    ZIP 93454
  • Facility Phone: 805 925-7747
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SUSAN E. ZIEMBA MD
  • NPI Number: 1144358953
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0643516
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MARIAN EXTENDED CARE CENTER
Street 1530 CYPRESS WAY
City SANTA MARIA
State CA
ZIP 93454
Phone 805 925-7747
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 Skilled Nursing Facility/Nursing Facility
Lab Director SUSAN E. ZIEMBA MD

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