05D2066449 CLIA NUMBER - DIGNITY HEALTH MEDICAL FOUNDATION

Laboratory Demographics

  • CLIA Code: 05D2066449
  • Facility Name: DIGNITY HEALTH MEDICAL FOUNDATION
  • Facility Address: 64 E DAILY DR
    CAMARILLO, CA
    ZIP 93010
  • Facility Phone: 916 851-2462
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAH DICKEY
  • NPI Number: 1548386402
  • Taxonomy: 3336I0012X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2066449
LAB Type Physician Office
Facility Name DIGNITY HEALTH MEDICAL FOUNDATION
Street 64 E DAILY DR
City CAMARILLO
State CA
ZIP 93010
Phone 916 851-2462
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 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Physician Office
Lab Director MICHAH DICKEY

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