05D1079434 CLIA NUMBER - OPTIONS FAMILY OF SERVICES CASA MARIPOSA - ICF-DDH

Laboratory Demographics

CLIA Number: 05D1079434

Facility Name: OPTIONS FAMILY OF SERVICES CASA MARIPOSA - ICF-DDH

Facility Address:
4087 HILLVIEW AVE
SANTA MARIA, CA
ZIP 93455
Get Directions

Facility Phone Number: 805 772-6066

Facility Type: Intermediate Care Facility for Mentally Retarded

Certificate Type: Waiver

NPI Number: 1154407773

Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

CLIA Record

Field Name	Field Value
CLIA Number	05D1079434
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	OPTIONS FAMILY OF SERVICES CASA MARIPOSA - ICF-DDH
Street	4087 HILLVIEW AVE
City	SANTA MARIA
State	CA
ZIP	93455
Phone	805 772-6066
CertificateType	4
CertificateEffectiveDate	1/31/2024
CertificateExpirationDate	1/30/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024