05D1055139 CLIA NUMBER - CARRILLO SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D1055139
  • Facility Name: CARRILLO SURGERY CENTER
  • Facility Address: 401 E CARRILLO ST, SUITE A
    SANTA BARBARA, CA
    ZIP 93101
  • Facility Phone: 805 963-4785
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ALAN MOELLEKEN
  • NPI Number: 1295891836
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 05D1055139
LAB Type Ambulatory Surgery Center
Facility Name CARRILLO SURGERY CENTER
Street 401 E CARRILLO ST, SUITE A
City SANTA BARBARA
State CA
ZIP 93101
Phone 805 963-4785
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2024
Certificate Expiration Date 6/8/2026
Facility Type Ambulatory Surgery Center
Lab Director ALAN MOELLEKEN

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