05D1015124 CLIA NUMBER - VENTURA ENDOSCOPY CENTER PARTNERS LLC

Laboratory Demographics

  • CLIA Code: 05D1015124
  • Facility Name: VENTURA ENDOSCOPY CENTER PARTNERS LLC
  • Facility Address: 5810 RALSTON ST STE 101
    VENTURA, CA
    ZIP 93003
  • Facility Phone: 805 550-5500
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CHETAN V. GONDHA
  • NPI Number: 1710081443
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1015124
LAB Type Ambulatory Surgery Center
Facility Name VENTURA ENDOSCOPY CENTER PARTNERS LLC
Street 5810 RALSTON ST STE 101
City VENTURA
State CA
ZIP 93003
Phone 805 550-5500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2025
Certificate Expiration Date 7/23/2027
Facility Type Ambulatory Surgery Center
Lab Director CHETAN V. GONDHA

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