05D0899762 CLIA NUMBER - ST JOHN'S REGIONAL MEDICAL CENTER COMMUNITY EDUCATION DEPARTMENT

Laboratory Demographics

  • CLIA Code: 05D0899762
  • Facility Name: ST JOHN'S REGIONAL MEDICAL CENTER COMMUNITY EDUCATION DEPARTMENT
  • Facility Address: 1600 NORTH ROSE AVENUE
    OXNARD, CA
    ZIP 93030
  • Facility Phone: 805 988-2688
  • Facility Type: Other - COMMUNITY ED HLTH FAIRS
  • Facility Type: Waiver
  • Lab Director: JOHN R. FORD
  • NPI Number: 1598940728
  • Taxonomy: 293D00000X - Physiological Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D0899762
LAB Type Other - COMMUNITY ED HLTH FAIRS
Facility Name ST JOHN'S REGIONAL MEDICAL CENTER COMMUNITY EDUCATION DEPARTMENT
Street 1600 NORTH ROSE AVENUE
City OXNARD
State CA
ZIP 93030
Phone 805 988-2688
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Other - COMMUNITY ED HLTH FAIRS
Lab Director JOHN R. FORD

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