05D2156200 CLIA NUMBER - IAATK SUPERIOR HOME HEALTH

Laboratory Demographics

  • CLIA Code: 05D2156200
  • Facility Name: IAATK SUPERIOR HOME HEALTH
  • Facility Address: 320 E WALNUT AVENUE
    LOMPOC, CA
    ZIP 93436
  • Facility Phone: 805 737-4357
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JOHN M. SAWYER
  • NPI Number: 1750834719
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2156200
LAB Type Home Health Agency
Facility Name IAATK SUPERIOR HOME HEALTH
Street 320 E WALNUT AVENUE
City LOMPOC
State CA
ZIP 93436
Phone 805 737-4357
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2024
Certificate Expiration Date 10/11/2026
Facility Type Home Health Agency
Lab Director JOHN M. SAWYER

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