05D0559456 CLIA NUMBER - MENTEER INTERNAL MEDICINE, INC

Laboratory Demographics

  • CLIA Code: 05D0559456
  • Facility Name: MENTEER INTERNAL MEDICINE, INC
  • Facility Address: 227 W JANSS RD STE 305
    THOUSAND OAKS, CA
    ZIP 91360
  • Facility Phone: 805 449-4181
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FRANCOISE G. MENTEER, MD
  • NPI Number: 1902221674
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0559456
LAB Type Physician Office
Facility Name MENTEER INTERNAL MEDICINE, INC
Street 227 W JANSS RD STE 305
City THOUSAND OAKS
State CA
ZIP 91360
Phone 805 449-4181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Physician Office
Lab Director FRANCOISE G. MENTEER, MD

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