05D2010498 CLIA NUMBER - ALEX HARRISON, MD INC

Laboratory Demographics

  • CLIA Code: 05D2010498
  • Facility Name: ALEX HARRISON, MD INC
  • Facility Address: 1510 E MAIN ST STE 101
    SANTA MARIA, CA
    ZIP 93454
  • Facility Phone: 805 928-0610
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALEX T. HARRISON
  • NPI Number: 1396934188
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2010498
LAB Type Physician Office
Facility Name ALEX HARRISON, MD INC
Street 1510 E MAIN ST STE 101
City SANTA MARIA
State CA
ZIP 93454
Phone 805 928-0610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2024
Certificate Expiration Date 7/28/2026
Facility Type Physician Office
Lab Director ALEX T. HARRISON

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