05D0706079 CLIA NUMBER - CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES OF SANTA MARIA, INC

Laboratory Demographics

CLIA Number: 05D0706079

Facility Name: CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES OF SANTA MARIA, INC

Facility Address:
220 E PALISADE ST STE 104B
SANTA MARIA, CA
ZIP 93454
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Facility Phone Number: 805 925-2521

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1194913921

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D0706079
LAB Type	Physician Office
Facility Name	CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES OF SANTA MARIA, INC
Street	220 E PALISADE ST STE 104B
City	SANTA MARIA
State	CA
ZIP	93454
Phone	805 925-2521
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024