05D0986722 CLIA NUMBER - SANTA MARIA WISDOM CENTER

Laboratory Demographics

  • CLIA Code: 05D0986722
  • Facility Name: SANTA MARIA WISDOM CENTER
  • Facility Address: 2255 SOUTH DEPOT STREET
    SANTA MARIA, CA
    ZIP 93455
  • Facility Phone: 805 349-9810
  • Facility Type: Other - ADULT DAY HEALTH CARE
  • Facility Type: Waiver
  • Lab Director: ARLENE GONZALES MD
  • NPI Number: 1760699672
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0986722
LAB Type Other - ADULT DAY HEALTH CARE
Facility Name SANTA MARIA WISDOM CENTER
Street 2255 SOUTH DEPOT STREET
City SANTA MARIA
State CA
ZIP 93455
Phone 805 349-9810
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Other - ADULT DAY HEALTH CARE
Lab Director ARLENE GONZALES MD

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