05D0584269 CLIA NUMBER - SIMI HEALTH CENTER

Laboratory Demographics

CLIA Number: 05D0584269

Facility Name: SIMI HEALTH CENTER

Facility Address:
1350 E LOS ANGELES AVE
SIMI VALLEY, CA
ZIP 93065
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Facility Phone Number: (805) 522-3782

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1871682096

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 05D0584269
LAB Type PHYSICIAN OFFICE
Facility Name SIMI HEALTH CENTER
Street 1350 E LOS ANGELES AVE
City SIMI VALLEY
State CA
ZIP 93065
Phone (805) 522-3782

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