05D0910183 CLIA NUMBER - COMMUNITY MEM HOSP CTR FOR FAMILY HLTH

Laboratory Demographics

  • CLIA Code: 05D0910183
  • Facility Name: COMMUNITY MEM HOSP CTR FOR FAMILY HLTH
  • Facility Address: 138 WEST MAIN STREET SUITE E
    VENTURA, CA
    ZIP 93001
  • Facility Phone: 805 667-2850
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: KHOZEMA CAMPWALA MD
  • NPI Number: 1295773224
  • Taxonomy: 261QM1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0910183
LAB Type Community Clinic
Facility Name COMMUNITY MEM HOSP CTR FOR FAMILY HLTH
Street 138 WEST MAIN STREET SUITE E
City VENTURA
State CA
ZIP 93001
Phone 805 667-2850
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 12/29/2023
Certificate Expiration Date 12/28/2025
Facility Type Community Clinic
Lab Director KHOZEMA CAMPWALA MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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