05D2160038 CLIA NUMBER - ROWI TEEN AND PARENT WELLNESS

Laboratory Demographics

  • CLIA Code: 05D2160038
  • Facility Name: ROWI TEEN AND PARENT WELLNESS
  • Facility Address: 123 HODENCAMP ROAD SUITE 210
    THOUSAND OAKS, CA
    ZIP 91360
  • Facility Phone: 805 356-3369
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: MARC ROSENTHAL
  • NPI Number: 1245763770
  • Taxonomy: 261QM0855X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2160038
LAB Type Ancillary Testing Site in Health Care Center
Facility Name ROWI TEEN AND PARENT WELLNESS
Street 123 HODENCAMP ROAD SUITE 210
City THOUSAND OAKS
State CA
ZIP 91360
Phone 805 356-3369
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director MARC ROSENTHAL

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