05D0585443 CLIA NUMBER - OSCAR L VELASCO MD

Laboratory Demographics

  • CLIA Code: 05D0585443
  • Facility Name: OSCAR L VELASCO MD
  • Facility Address: 560 W PUTNAM AVE 5
    PORTERVILLE, CA
    ZIP 93257
  • Facility Phone: 209 781-4007
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: OSCAR L. VELASCO
  • NPI Number: 1689778235
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0585443
LAB Type Physician Office
Facility Name OSCAR L VELASCO MD
Street 560 W PUTNAM AVE 5
City PORTERVILLE
State CA
ZIP 93257
Phone 209 781-4007
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 OSCAR L. VELASCO

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