05D2060639 CLIA NUMBER - FAMILY MEDICINE CENTER

Home > CLIA Lookup > 05D2060639

Laboratory Demographics

CLIA Number: 05D2060639

Facility Name: FAMILY MEDICINE CENTER

Facility Address:
235 SOUTH PALISADE DRIVE
SANTA MARIA, CA
ZIP 93454
Get Directions

Facility Phone Number: 805 739-3561

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1700209301

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2060639
LAB Type	Community Clinic
Facility Name	FAMILY MEDICINE CENTER
Street	235 SOUTH PALISADE DRIVE
City	SANTA MARIA
State	CA
ZIP	93454
Phone	805 739-3561
CertificateType	3
CertificateEffectiveDate	6/14/2023
CertificateExpirationDate	6/13/2025
FacilityType	PPMP

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