05D2138218 CLIA NUMBER - COASTAL SURGERY CENTER PARTNERS

Laboratory Demographics

  • CLIA Code: 05D2138218
  • Facility Name: COASTAL SURGERY CENTER PARTNERS
  • Facility Address: 222 W PUEBLO ST, SUITE C
    SANTA BARBARA, CA
    ZIP 93105
  • Facility Phone: 805 364-8450
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RALPH MOZINGO
  • NPI Number: 1164974655
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2138218
LAB Type Ambulatory Surgery Center
Facility Name COASTAL SURGERY CENTER PARTNERS
Street 222 W PUEBLO ST, SUITE C
City SANTA BARBARA
State CA
ZIP 93105
Phone 805 364-8450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Ambulatory Surgery Center
Lab Director RALPH MOZINGO

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