05D1081420 CLIA NUMBER - MIKAEL HAKANSSON MD

Laboratory Demographics

  • CLIA Code: 05D1081420
  • Facility Name: MIKAEL HAKANSSON MD
  • Facility Address: 533 SESPE AVE STE C
    FILLMORE, CA
    ZIP 93015
  • Facility Phone: 805 524-2749
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MIKAEL HAKANSSON MD
  • NPI Number: 1942245113
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1081420
LAB Type Physician Office
Facility Name MIKAEL HAKANSSON MD
Street 533 SESPE AVE STE C
City FILLMORE
State CA
ZIP 93015
Phone 805 524-2749
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 3/17/2024
Certificate Expiration Date 3/16/2026
Facility Type Physician Office
Lab Director MIKAEL HAKANSSON MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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