05D2196617 CLIA NUMBER - ADVANCED RETINA ASSOCIATES MEDICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 05D2196617
  • Facility Name: ADVANCED RETINA ASSOCIATES MEDICAL GROUP INC
  • Facility Address: 351 S B ST
    OXNARD, CA
    ZIP 93030
  • Facility Phone: 805 240-1650
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SANJAY LOGANI
  • NPI Number: 1740655232
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2196617
LAB Type Practitioner Other
Facility Name ADVANCED RETINA ASSOCIATES MEDICAL GROUP INC
Street 351 S B ST
City OXNARD
State CA
ZIP 93030
Phone 805 240-1650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2024
Certificate Expiration Date 10/18/2026
Facility Type Practitioner Other
Lab Director SANJAY LOGANI

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