05D1088761 CLIA NUMBER - GROSSMAN IMAGING CENTER

Laboratory Demographics

  • CLIA Code: 05D1088761
  • Facility Name: GROSSMAN IMAGING CENTER
  • Facility Address: 2151 E GONZALES RD STE 100
    OXNARD, CA
    ZIP 93036
  • Facility Phone: 805 988-0616
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: IRWIN GROSSMAN MD
  • NPI Number: 1366463572
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 05D1088761
LAB Type Other
Facility Name GROSSMAN IMAGING CENTER
Street 2151 E GONZALES RD STE 100
City OXNARD
State CA
ZIP 93036
Phone 805 988-0616
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2024
Certificate Expiration Date 9/2/2026
Facility Type Other
Lab Director IRWIN GROSSMAN MD

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