05D1039681 CLIA NUMBER - COMMUNITY MEMORIAL HOSPITAL CENTER FOR FAMILY HEALTH-AIRPORT MARINA

Laboratory Demographics

CLIA Code: 05D1039681
Facility Name: COMMUNITY MEMORIAL HOSPITAL CENTER FOR FAMILY HEALTH-AIRPORT MARINA
Facility Address: 3641 W 5TH ST
OXNARD, CA
ZIP 93030
Facility Phone: 805 985-5505
Facility Type: Community Clinic
Facility Type: Microscopy
Lab Director: VICTOTIA SORLIE-AGUILAR
NPI Number: 1346288875
Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name	Field Value
CLIA Number	05D1039681
LAB Type	Community Clinic
Facility Name	COMMUNITY MEMORIAL HOSPITAL CENTER FOR FAMILY HEALTH-AIRPORT MARINA
Street	3641 W 5TH ST
City	OXNARD
State	CA
ZIP	93030
Phone	805 985-5505
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	4/19/2025
Certificate Expiration Date	4/18/2027
Facility Type	Community Clinic
Lab Director	VICTOTIA SORLIE-AGUILAR

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