05D2144612 CLIA NUMBER - WESTERN PACIFIC MED CORP

Laboratory Demographics

  • CLIA Code: 05D2144612
  • Facility Name: WESTERN PACIFIC MED CORP
  • Facility Address: 955 E THOMPSON BLVD
    VENTURA, CA
    ZIP 93002
  • Facility Phone: 805 641-9100
  • Facility Type: Other - OPIOID TREATMNT PROGRAM
  • Facility Type: Waiver
  • Lab Director: DAVID SAMI, MD
  • NPI Number: 1023221298
  • Taxonomy: 302R00000X - Health Maintenance Organization

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CLIA Record

Field Name Field Value
CLIA Number 05D2144612
LAB Type Other - OPIOID TREATMNT PROGRAM
Facility Name WESTERN PACIFIC MED CORP
Street 955 E THOMPSON BLVD
City VENTURA
State CA
ZIP 93002
Phone 805 641-9100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2024
Certificate Expiration Date 2/19/2026
Facility Type Other - OPIOID TREATMNT PROGRAM
Lab Director DAVID SAMI, MD

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