05D2184546 CLIA NUMBER - OXNARD MEDICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 05D2184546
  • Facility Name: OXNARD MEDICAL GROUP INC
  • Facility Address: 12511 OXNARD ST
    N HOLLYWOOD, CA
    ZIP 91606
  • Facility Phone: 818 762-2084
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMABLE AGUILUZ JR
  • NPI Number: 1104487776
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 05D2184546
LAB Type Physician Office
Facility Name OXNARD MEDICAL GROUP INC
Street 12511 OXNARD ST
City N HOLLYWOOD
State CA
ZIP 91606
Phone 818 762-2084
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 5/20/2026
Facility Type Physician Office
Lab Director AMABLE AGUILUZ JR

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