05D1007644 CLIA NUMBER - RYAN L ALLEN DO

Laboratory Demographics

  • CLIA Code: 05D1007644
  • Facility Name: RYAN L ALLEN DO
  • Facility Address: 2342 PROFESSIONAL PARKWAY SUITE 260
    SANTA MARIA, CA
    ZIP 93455
  • Facility Phone: 805 348-3910
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RYAN L. ALLEN DO
  • NPI Number: 1265417752
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1007644
LAB Type Physician Office
Facility Name RYAN L ALLEN DO
Street 2342 PROFESSIONAL PARKWAY SUITE 260
City SANTA MARIA
State CA
ZIP 93455
Phone 805 348-3910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/24/2024
Certificate Expiration Date 12/23/2026
Facility Type Physician Office
Lab Director RYAN L. ALLEN DO

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