05D1007386 CLIA NUMBER - SANTA BARBARA ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 05D1007386
  • Facility Name: SANTA BARBARA ENDOSCOPY CENTER
  • Facility Address: 25 W MICHELTORENA ST
    SANTA BARBARA, CA
    ZIP 93101
  • Facility Phone: 805 966-1600
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: EDWARD S. BENTLEY MD
  • NPI Number: 1821019738
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1007386
LAB Type Ambulatory Surgery Center
Facility Name SANTA BARBARA ENDOSCOPY CENTER
Street 25 W MICHELTORENA ST
City SANTA BARBARA
State CA
ZIP 93101
Phone 805 966-1600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2025
Certificate Expiration Date 4/7/2027
Facility Type Ambulatory Surgery Center
Lab Director EDWARD S. BENTLEY MD

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