05D0945279 CLIA NUMBER - HEMA VAIDYA NATHAN MD

Laboratory Demographics

  • CLIA Code: 05D0945279
  • Facility Name: HEMA VAIDYA NATHAN MD
  • Facility Address: 227 W JANSS RD STE 335
    THOUSAND OAKS, CA
    ZIP 91360
  • Facility Phone: 818 496-0135
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: HEMA L. VAIDYA NATHAN
  • NPI Number: 1225181241
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0945279
LAB Type Physician Office
Facility Name HEMA VAIDYA NATHAN MD
Street 227 W JANSS RD STE 335
City THOUSAND OAKS
State CA
ZIP 91360
Phone 818 496-0135
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 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Physician Office
Lab Director HEMA L. VAIDYA NATHAN

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This page was last updated on: 6/4/2025