05D2054158 CLIA NUMBER - VICTOR VALLEY GLOBAL MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 05D2054158
  • Facility Name: VICTOR VALLEY GLOBAL MEDICAL CENTER
  • Facility Address: 15248 ELEVENTH ST
    VICTORVILLE, CA
    ZIP 92395
  • Facility Phone: 760 843-6083
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. NOGBA PAWOO
  • NPI Number: 1497941264
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 05D2054158
LAB Type Hospital
Facility Name VICTOR VALLEY GLOBAL MEDICAL CENTER
Street 15248 ELEVENTH ST
City VICTORVILLE
State CA
ZIP 92395
Phone 760 843-6083
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 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Hospital
Lab Director DR. NOGBA PAWOO

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