05D0876709 CLIA NUMBER - MAIN MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 05D0876709
  • Facility Name: MAIN MEDICAL CENTER
  • Facility Address: 1040 WEST MAIN STREET
    SANTA MARIA, CA
    ZIP 93454
  • Facility Phone: 805 922-8269
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL K. KAZAK
  • NPI Number: 1528249232
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0876709
LAB Type Physician Office
Facility Name MAIN MEDICAL CENTER
Street 1040 WEST MAIN STREET
City SANTA MARIA
State CA
ZIP 93454
Phone 805 922-8269
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2025
Certificate Expiration Date 9/22/2027
Facility Type Physician Office
Lab Director MICHAEL K. KAZAK

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