05D2281120 CLIA NUMBER - GOOD SAMARITAN SHELTER

Laboratory Demographics

  • CLIA Code: 05D2281120
  • Facility Name: GOOD SAMARITAN SHELTER
  • Facility Address: 245 INGER DR SUITE 103B
    SANTA MARIA, CA
    ZIP 93454
  • Facility Phone: 805 266-3747
  • Facility Type: Other - SUD OUTPATIENT TREATMENT
  • Facility Type: Waiver
  • Lab Director: JOSEPHINE P. PRECIADO
  • NPI Number: 1487166120
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2281120
LAB Type Other - SUD OUTPATIENT TREATMENT
Facility Name GOOD SAMARITAN SHELTER
Street 245 INGER DR SUITE 103B
City SANTA MARIA
State CA
ZIP 93454
Phone 805 266-3747
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2025
Certificate Expiration Date 5/1/2027
Facility Type Other - SUD OUTPATIENT TREATMENT
Lab Director JOSEPHINE P. PRECIADO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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