05D0583234 CLIA NUMBER - VENTURA CNTY OB/GYN MED GRP INC

Laboratory Demographics

  • CLIA Code: 05D0583234
  • Facility Name: VENTURA CNTY OB/GYN MED GRP INC
  • Facility Address: 2795 LOMA VISTA RD
    VENTURA, CA
    ZIP 93003
  • Facility Phone: 805 643-8695
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RICHARD A. REISMAN MD
  • NPI Number: 1922380484
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 05D0583234
LAB Type Physician Office
Facility Name VENTURA CNTY OB/GYN MED GRP INC
Street 2795 LOMA VISTA RD
City VENTURA
State CA
ZIP 93003
Phone 805 643-8695
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director RICHARD A. REISMAN MD

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This page was last updated on: 6/4/2025