05D1000082 CLIA NUMBER - IRIS CASTANEDA-VAN WYK

Laboratory Demographics

  • CLIA Code: 05D1000082
  • Facility Name: IRIS CASTANEDA-VAN WYK
  • Facility Address: 1532 ANACAPA STREET, STE 1
    SANTA BARBARA, CA
    ZIP 93101
  • Facility Phone: 805 892-4141
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IRIS A. CASTANEDA-VAN WYK
  • NPI Number: 1952452518
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D1000082
LAB Type Physician Office
Facility Name IRIS CASTANEDA-VAN WYK
Street 1532 ANACAPA STREET, STE 1
City SANTA BARBARA
State CA
ZIP 93101
Phone 805 892-4141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2025
Certificate Expiration Date 7/23/2027
Facility Type Physician Office
Lab Director IRIS A. CASTANEDA-VAN WYK

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