05D0715797 CLIA NUMBER - LISA N OKI MD/A MEDICAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D0715797
  • Facility Name: LISA N OKI MD/A MEDICAL CORPORATION
  • Facility Address: 2925 SYCAMORE DR, STE 101
    SIMI VALLEY, CA
    ZIP 93065
  • Facility Phone: 805 520-6430
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LISA N. OKI MD
  • NPI Number: 1538170113
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D0715797
LAB Type Physician Office
Facility Name LISA N OKI MD/A MEDICAL CORPORATION
Street 2925 SYCAMORE DR, STE 101
City SIMI VALLEY
State CA
ZIP 93065
Phone 805 520-6430
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 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Physician Office
Lab Director LISA N. OKI MD

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