05D0691679 CLIA NUMBER - ROBERT S BARRY MD INC

Laboratory Demographics

  • CLIA Code: 05D0691679
  • Facility Name: ROBERT S BARRY MD INC
  • Facility Address: 1420 S MILLER ST SUITE A
    SANTA MARIA, CA
    ZIP 93454
  • Facility Phone: 805 922-3573
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROBERT S. BARRY
  • NPI Number: 1164591608
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0691679
LAB Type Physician Office
Facility Name ROBERT S BARRY MD INC
Street 1420 S MILLER ST SUITE A
City SANTA MARIA
State CA
ZIP 93454
Phone 805 922-3573
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 ROBERT S. BARRY

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