05D0936879 CLIA NUMBER - PATRICK DIESFELD, MD

Laboratory Demographics

  • CLIA Code: 05D0936879
  • Facility Name: PATRICK DIESFELD, MD
  • Facility Address: 168 N BRENT ST, #407
    VENTURA, CA
    ZIP 93003
  • Facility Phone: 805 648-2717
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PATRICK W. DIESFELD
  • NPI Number: 1568576080
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D0936879
LAB Type Physician Office
Facility Name PATRICK DIESFELD, MD
Street 168 N BRENT ST, #407
City VENTURA
State CA
ZIP 93003
Phone 805 648-2717
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 5/16/2025
Certificate Expiration Date 5/15/2027
Facility Type Physician Office
Lab Director PATRICK W. DIESFELD

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