05D2184489 CLIA NUMBER - WALKER MEDICAL WELLNESS

Laboratory Demographics

  • CLIA Code: 05D2184489
  • Facility Name: WALKER MEDICAL WELLNESS
  • Facility Address: 1145 E CLARK AVENUE SUITE I
    SANTA MARIA, CA
    ZIP 93455
  • Facility Phone: 267 828-4817
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRUCE J. WALKER
  • NPI Number: 1760991277
  • Taxonomy: 2083X0100X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2184489
LAB Type Physician Office
Facility Name WALKER MEDICAL WELLNESS
Street 1145 E CLARK AVENUE SUITE I
City SANTA MARIA
State CA
ZIP 93455
Phone 267 828-4817
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Physician Office
Lab Director BRUCE J. WALKER

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