05D0958511 CLIA NUMBER - ANTOINE T HANNA MD

Laboratory Demographics

  • CLIA Code: 05D0958511
  • Facility Name: ANTOINE T HANNA MD
  • Facility Address: 1700 N ROSE AVENUE SUITE 230
    OXNARD, CA
    ZIP 93030
  • Facility Phone: 805 988-2811
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTOINE T. HANNA MD
  • NPI Number: 1104855600
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D0958511
LAB Type Physician Office
Facility Name ANTOINE T HANNA MD
Street 1700 N ROSE AVENUE SUITE 230
City OXNARD
State CA
ZIP 93030
Phone 805 988-2811
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2025
Certificate Expiration Date 3/18/2027
Facility Type Physician Office
Lab Director ANTOINE T. HANNA MD

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