05D2172796 CLIA NUMBER - CENTRAL COAST CARDIOVASCULAR GROUP, INC

Laboratory Demographics

  • CLIA Code: 05D2172796
  • Facility Name: CENTRAL COAST CARDIOVASCULAR GROUP, INC
  • Facility Address: 334 SOUTH PATTERSON AVENUE #208
    SANTA BARBARA, CA
    ZIP 93111
  • Facility Phone: 805 967-0497
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NOLAN J. MAYER
  • NPI Number: 1568027043
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2172796
LAB Type Physician Office
Facility Name CENTRAL COAST CARDIOVASCULAR GROUP, INC
Street 334 SOUTH PATTERSON AVENUE #208
City SANTA BARBARA
State CA
ZIP 93111
Phone 805 967-0497
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2025
Certificate Expiration Date 9/29/2027
Facility Type Physician Office
Lab Director NOLAN J. MAYER

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