05D2057857 CLIA NUMBER - Sansum Clinic- Hitchcock

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Laboratory Demographics

CLIA Number: 05D2057857

Facility Name: Sansum Clinic- Hitchcock

Facility Address:
215 Pesetas Ln,
Santa Barbara, CA
ZIP 93110
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Facility Phone Number: (805) 898-3537

Facility Type: COMMUNITY CLINIC

Certificate Type: Certificate of Compliance

NPI Number: 1154354504

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2057857
LAB Type	COMMUNITY CLINIC
Facility Name	Sansum Clinic- Hitchcock
Street	215 Pesetas Ln,
City	Santa Barbara
State	CA
ZIP	93110
Phone	8058983537

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This page was last updated on: 5/19/2019