05D0890945 CLIA NUMBER - WILLIAM C KOONCE, MD

Laboratory Demographics

  • CLIA Code: 05D0890945
  • Facility Name: WILLIAM C KOONCE, MD
  • Facility Address: 219 NOGALES AVENUE, SUITE B
    SANTA BARBARA, CA
    ZIP 93105
  • Facility Phone: 805 682-7200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM C. KOONCE
  • NPI Number: 1124010095
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0890945
LAB Type Physician Office
Facility Name WILLIAM C KOONCE, MD
Street 219 NOGALES AVENUE, SUITE B
City SANTA BARBARA
State CA
ZIP 93105
Phone 805 682-7200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Physician Office
Lab Director WILLIAM C. KOONCE

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