05D2159359 CLIA NUMBER - MICHAEL BORDOFSKY, MD

Laboratory Demographics

  • CLIA Code: 05D2159359
  • Facility Name: MICHAEL BORDOFSKY, MD
  • Facility Address: 515 MICHELTORENA ST # C
    SANTA BARBARA, CA
    ZIP 93103
  • Facility Phone: 805 563-3234
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL C. BORDOFSKY
  • NPI Number: 1073505327
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2159359
LAB Type Physician Office
Facility Name MICHAEL BORDOFSKY, MD
Street 515 MICHELTORENA ST # C
City SANTA BARBARA
State CA
ZIP 93103
Phone 805 563-3234
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Physician Office
Lab Director MICHAEL C. BORDOFSKY

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