05D2058153 CLIA NUMBER - SCPMG SANTA CLARITA MOB1

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Laboratory Demographics

CLIA Number: 05D2058153

Facility Name: SCPMG SANTA CLARITA MOB1

Facility Address:
27107 TOURNEY RD
SANTA CLARITA, CA
ZIP 91355
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Facility Phone Number: 818 815-5034

Facility Type: Health Main. Organization

Certificate Type: Microscopy

CLIA Record

Field Name	Field Value
CLIA Number	05D2058153
LAB Type	Health Main. Organization
Facility Name	SCPMG SANTA CLARITA MOB1
Street	27107 TOURNEY RD
City	SANTA CLARITA
State	CA
ZIP	91355
Phone	818 815-5034
CertificateType	3
CertificateEffectiveDate	4/30/2023
CertificateExpirationDate	4/29/2025
FacilityType	PPMP

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