05D2165087 CLIA NUMBER - PROGENABIOME

Laboratory Demographics

  • CLIA Code: 05D2165087
  • Facility Name: PROGENABIOME
  • Facility Address: 1845 KNOLL DR
    VENTURA, CA
    ZIP 93003
  • Facility Phone: 805 339-0549
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. BRAD D. BARROWS
  • NPI Number: 1588221899
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2165087
LAB Type Independent
Facility Name PROGENABIOME
Street 1845 KNOLL DR
City VENTURA
State CA
ZIP 93003
Phone 805 339-0549
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/22/2024
Certificate Expiration Date 1/21/2026
Facility Type Independent
Lab Director DR. BRAD D. BARROWS

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