05D0888826 CLIA NUMBER - COMMUNITY MEMORIAL HOSPITAL CENTERS FOR FAMILY HEALTH VINEYARD

Laboratory Demographics

  • CLIA Code: 05D0888826
  • Facility Name: COMMUNITY MEMORIAL HOSPITAL CENTERS FOR FAMILY HEALTH VINEYARD
  • Facility Address: 2361 VINEYARD AVE
    OXNARD, CA
    ZIP 93036
  • Facility Phone: 805 981-3770
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LISA CARBONELL
  • NPI Number: 1124067574
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0888826
LAB Type Physician Office
Facility Name COMMUNITY MEMORIAL HOSPITAL CENTERS FOR FAMILY HEALTH VINEYARD
Street 2361 VINEYARD AVE
City OXNARD
State CA
ZIP 93036
Phone 805 981-3770
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 12/18/2023
Certificate Expiration Date 12/17/2025
Facility Type Physician Office
Lab Director LISA CARBONELL

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