05D2085677 CLIA NUMBER - BRIAN S TAYLOR, MD, INC

Laboratory Demographics

  • CLIA Code: 05D2085677
  • Facility Name: BRIAN S TAYLOR, MD, INC
  • Facility Address: 3585 MAPLE ST STE 205
    VENTURA, CA
    ZIP 93003
  • Facility Phone: 805 654-0926
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIAN S. TAYLOR, MD
  • NPI Number: 1992905723
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 05D2085677
LAB Type Physician Office
Facility Name BRIAN S TAYLOR, MD, INC
Street 3585 MAPLE ST STE 205
City VENTURA
State CA
ZIP 93003
Phone 805 654-0926
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type Physician Office
Lab Director BRIAN S. TAYLOR, MD

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This page was last updated on: 3/20/2025