05D1034446 CLIA NUMBER - BUENA VISTA FAMILY HEALTH MEDICAL CENTER, INC

Laboratory Demographics

CLIA Number: 05D1034446

Facility Name: BUENA VISTA FAMILY HEALTH MEDICAL CENTER, INC

Facility Address:
719 N A STREET
OXNARD, CA
ZIP 93030
Get Directions

Facility Phone Number: 805 485-9123

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1003836545

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D1034446
LAB Type	Physician Office
Facility Name	BUENA VISTA FAMILY HEALTH MEDICAL CENTER, INC
Street	719 N A STREET
City	OXNARD
State	CA
ZIP	93030
Phone	805 485-9123
CertificateType	4
CertificateEffectiveDate	10/6/2023
CertificateExpirationDate	10/5/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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