05D1086245 CLIA NUMBER - PMK MEDICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 05D1086245
  • Facility Name: PMK MEDICAL GROUP INC
  • Facility Address: 500 PASEO CAMARILLO STE 106
    CAMARILLO, CA
    ZIP 93010
  • Facility Phone: 805 485-8709
  • Facility Type: Practitioner Other
  • Facility Type: Accreditation
  • Lab Director: KEVIN CHANG
  • NPI Number: 1962405860
  • Taxonomy: 207RH0003X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1086245
LAB Type Practitioner Other
Facility Name PMK MEDICAL GROUP INC
Street 500 PASEO CAMARILLO STE 106
City CAMARILLO
State CA
ZIP 93010
Phone 805 485-8709
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/4/2025
Certificate Expiration Date 9/3/2027
Facility Type Practitioner Other
Lab Director KEVIN CHANG

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