05D0958511 CLIA NUMBER - ANTOINE T HANNA MD

Laboratory Demographics

CLIA Number: 05D0958511

Facility Name: ANTOINE T HANNA MD

Facility Address:
1700 N ROSE AVENUE SUITE 230
OXNARD, CA
ZIP 93030
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Facility Phone Number: 805 988-2811

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1104855600

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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
CertificateType	4
CertificateEffectiveDate	3/19/2023
CertificateExpirationDate	3/18/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024