05D2134455 CLIA NUMBER - DIGNITY HEALTH MEDICAL FOUNDATION

Laboratory Demographics

CLIA Number: 05D2134455

Facility Name: DIGNITY HEALTH MEDICAL FOUNDATION

Facility Address:
2901 N VENTURA RD, STE 100
OXNARD, CA
ZIP 93036
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Facility Phone Number: 916 379-2861

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1811345960

Taxonomy: 261QC1500X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2134455
LAB Type	Physician Office
Facility Name	DIGNITY HEALTH MEDICAL FOUNDATION
Street	2901 N VENTURA RD, STE 100
City	OXNARD
State	CA
ZIP	93036
Phone	916 379-2861
CertificateType	3
CertificateEffectiveDate	8/2/2023
CertificateExpirationDate	8/1/2025
FacilityType	PPMP

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