05D2213725 CLIA NUMBER - NICOLAS LIMTHONG, MD PC DBA ONSITE DIAGNOSIS

Laboratory Demographics

  • CLIA Code: 05D2213725
  • Facility Name: NICOLAS LIMTHONG, MD PC DBA ONSITE DIAGNOSIS
  • Facility Address: 148 N BRENT ST STE 101
    VENTURA, CA
    ZIP 93003
  • Facility Phone: 805 722-2468
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NICOALS P. LIMTHONG
  • NPI Number: 1750726758
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 05D2213725
LAB Type Physician Office
Facility Name NICOLAS LIMTHONG, MD PC DBA ONSITE DIAGNOSIS
Street 148 N BRENT ST STE 101
City VENTURA
State CA
ZIP 93003
Phone 805 722-2468
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2025
Certificate Expiration Date 2/15/2027
Facility Type Physician Office
Lab Director NICOALS P. LIMTHONG

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