05D2219792 CLIA NUMBER - UNIVERSITY OF CALIFORNIA SANTA BARBARA

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Laboratory Demographics

CLIA Number: 05D2219792

Facility Name: UNIVERSITY OF CALIFORNIA SANTA BARBARA

Facility Address:
243 ICA BUILDING OCEAN ROAD
SANTA BARBARA, CA
ZIP 93106
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Facility Phone Number: 805 893-2087

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1467509133

Taxonomy: 261QS1000X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2219792
LAB Type	School/Student Health Service
Facility Name	UNIVERSITY OF CALIFORNIA SANTA BARBARA
Street	243 ICA BUILDING OCEAN ROAD
City	SANTA BARBARA
State	CA
ZIP	93106
Phone	805 893-2087
CertificateType	4
CertificateEffectiveDate	4/7/2023
CertificateExpirationDate	4/6/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024