05D2014676 CLIA NUMBER - SAMUEL DIXON FAMILY HEALTH CENTERS, INC

Laboratory Demographics

  • CLIA Code: 05D2014676
  • Facility Name: SAMUEL DIXON FAMILY HEALTH CENTERS, INC
  • Facility Address: 23772 NEWHALL AVE
    NEWHALL, CA
    ZIP 91321
  • Facility Phone: 661 257-2339
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: GREGORY D. JENKINS MD
  • NPI Number: 1851559546
  • Taxonomy: 207RI0011X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2014676
LAB Type Federally Qualified Health Center
Facility Name SAMUEL DIXON FAMILY HEALTH CENTERS, INC
Street 23772 NEWHALL AVE
City NEWHALL
State CA
ZIP 91321
Phone 661 257-2339
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 10/14/2024
Certificate Expiration Date 10/13/2026
Facility Type Federally Qualified Health Center
Lab Director GREGORY D. JENKINS MD

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This page was last updated on: 6/4/2025