05D2008927 CLIA NUMBER - VENTURA COUNTY OCCUPATIONAL MEDICAL SERVICES

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Laboratory Demographics

CLIA Number: 05D2008927

Facility Name: VENTURA COUNTY OCCUPATIONAL MEDICAL SERVICES

Facility Address:
1901 HOLSER WALK SUITE 315
OXNARD, CA
ZIP 93034
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Facility Phone Number: 805 988-2273

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1225192743

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2008927
LAB Type	Physician Office
Facility Name	VENTURA COUNTY OCCUPATIONAL MEDICAL SERVICES
Street	1901 HOLSER WALK SUITE 315
City	OXNARD
State	CA
ZIP	93034
Phone	805 988-2273
CertificateType	4
CertificateEffectiveDate	6/22/2022
CertificateExpirationDate	6/21/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024