05D1071111 CLIA NUMBER - LAWRENCE L LIN MD

Laboratory Demographics

  • CLIA Code: 05D1071111
  • Facility Name: LAWRENCE L LIN MD
  • Facility Address: 1000 NEWBURY RD, STE 165
    THOUSAND OAKS, CA
    ZIP 91320
  • Facility Phone: 805 449-1778
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAWRENCE L. LIN
  • NPI Number: 1114964202
  • Taxonomy: 207VF0040X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D1071111
LAB Type Physician Office
Facility Name LAWRENCE L LIN MD
Street 1000 NEWBURY RD, STE 165
City THOUSAND OAKS
State CA
ZIP 91320
Phone 805 449-1778
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2024
Certificate Expiration Date 6/25/2026
Facility Type Physician Office
Lab Director LAWRENCE L. LIN

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