05D2083777 CLIA NUMBER - SANTA MARIA WOMEN'S HEALTH CENTER

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Laboratory Demographics

CLIA Number: 05D2083777

Facility Name: SANTA MARIA WOMEN'S HEALTH CENTER

Facility Address:
220 S PALISADE DR STE 204
SANTA MARIA, CA
ZIP 93454
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Facility Phone Number: 805 354-7101

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1770997033

Taxonomy: 261QC1500X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2083777
LAB Type	Community Clinic
Facility Name	SANTA MARIA WOMEN'S HEALTH CENTER
Street	220 S PALISADE DR STE 204
City	SANTA MARIA
State	CA
ZIP	93454
Phone	805 354-7101
CertificateType	3
CertificateEffectiveDate	9/11/2022
CertificateExpirationDate	9/10/2024
FacilityType	PPMP

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