05D0709361 CLIA NUMBER - MISSION TERRACE CONV HOSPITAL

Laboratory Demographics

  • CLIA Code: 05D0709361
  • Facility Name: MISSION TERRACE CONV HOSPITAL
  • Facility Address: 623 W JUNIPERO ST
    SANTA BARBARA, CA
    ZIP 93105
  • Facility Phone: 805 682-7443
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DOUGLAS POWERS
  • NPI Number: 1841351780
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0709361
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MISSION TERRACE CONV HOSPITAL
Street 623 W JUNIPERO ST
City SANTA BARBARA
State CA
ZIP 93105
Phone 805 682-7443
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 DOUGLAS POWERS

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