05D0583156 CLIA NUMBER - COMMUNITY FAMILY PRACTICE

Laboratory Demographics

CLIA Number: 05D0583156

Facility Name: COMMUNITY FAMILY PRACTICE

Facility Address:
2715 E MAIN
VENTURA, CA
ZIP 93003
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Facility Phone Number: (805) 648-5268

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name Field Value
CLIA Number 05D0583156
LAB Type PHYSICIAN OFFICE
Facility Name COMMUNITY FAMILY PRACTICE
Street 2715 E MAIN
City VENTURA
State CA
ZIP 93003
Phone (805) 648-5268

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This page was last updated on: 1/7/2022