05D0981293 CLIA NUMBER - ADVENTIST HEALTH PHYSICIANS NETWORK

Laboratory Demographics

  • CLIA Code: 05D0981293
  • Facility Name: ADVENTIST HEALTH PHYSICIANS NETWORK
  • Facility Address: 2950 SYCAMORE DRIVE, STE 300
    SIMI VALLEY, CA
    ZIP 93065
  • Facility Phone: 805 955-7063
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN DINGILLAN
  • NPI Number: 1811356298
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0981293
LAB Type Physician Office
Facility Name ADVENTIST HEALTH PHYSICIANS NETWORK
Street 2950 SYCAMORE DRIVE, STE 300
City SIMI VALLEY
State CA
ZIP 93065
Phone 805 955-7063
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 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Physician Office
Lab Director JOHN DINGILLAN

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