05D2108748 CLIA NUMBER - WESTERN DIAGNOSTIC SERVICES LABORATORY, LLC

Laboratory Demographics

  • CLIA Code: 05D2108748
  • Facility Name: WESTERN DIAGNOSTIC SERVICES LABORATORY, LLC
  • Facility Address: 1414 EAST MAIN ST STE 102
    SANTA MARIA, CA
    ZIP 93454
  • Facility Phone: 805 471-1264
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. KEVIN L. FERGUSON
  • NPI Number: 1497120653
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2108748
LAB Type Independent
Facility Name WESTERN DIAGNOSTIC SERVICES LABORATORY, LLC
Street 1414 EAST MAIN ST STE 102
City SANTA MARIA
State CA
ZIP 93454
Phone 805 471-1264
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Independent
Lab Director DR. KEVIN L. FERGUSON

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