05D1013572 CLIA NUMBER - FAMILY CIRCLE INC

Laboratory Demographics

CLIA Number: 05D1013572

Facility Name: FAMILY CIRCLE INC

Facility Address:
2100 OUTLET CENTER DR STE 380
OXNARD, CA
ZIP 93036
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Facility Phone Number: 805 385-4180

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1336368562

Taxonomy: 261QA0600X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D1013572
LAB Type	Other
Facility Name	FAMILY CIRCLE INC
Street	2100 OUTLET CENTER DR STE 380
City	OXNARD
State	CA
ZIP	93036
Phone	805 385-4180
CertificateType	4
CertificateEffectiveDate	6/11/2023
CertificateExpirationDate	6/10/2025
FacilityType	Waiver

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