05D2041884 CLIA NUMBER - COMMUNITY MEMORIAL HOSPITAL CTR FOR FAMILY HLTH - PORT HUENEME

Laboratory Demographics

CLIA Code: 05D2041884
Facility Name: COMMUNITY MEMORIAL HOSPITAL CTR FOR FAMILY HLTH - PORT HUENEME
Facility Address: 321 E PORT HUENEME RD
PORT HUENEME, CA
ZIP 93041
Facility Phone: 805 652-4267
Facility Type: Community Clinic
Facility Type: Microscopy
Lab Director: STEVEN D. CLEMENT, DO
NPI Number: 1659656775
Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name	Field Value
CLIA Number	05D2041884
LAB Type	Community Clinic
Facility Name	COMMUNITY MEMORIAL HOSPITAL CTR FOR FAMILY HLTH - PORT HUENEME
Street	321 E PORT HUENEME RD
City	PORT HUENEME
State	CA
ZIP	93041
Phone	805 652-4267
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	10/30/2023
Certificate Expiration Date	10/29/2025
Facility Type	Community Clinic
Lab Director	STEVEN D. CLEMENT, DO

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