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05D2228450 CLIA NUMBER - HEALTHWORKS MED GROUP OF CALIFORNIA, A MED CORP (DBA) SMUCKER OXNARD HEALTH AND WELLNESS CENTER

Laboratory Demographics

CLIA Number: 05D2228450

Facility Name: HEALTHWORKS MED GROUP OF CALIFORNIA, A MED CORP (DBA) SMUCKER OXNARD HEALTH AND WELLNESS CENTER

Facility Address:
800 COMMERCIAL AVE
OXNARD, CA
ZIP 93030
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Facility Phone Number: 805 204-5265

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1538669577

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 05D2228450
LAB Type Physician Office
Facility Name HEALTHWORKS MED GROUP OF CALIFORNIA, A MED CORP (DBA) SMUCKER OXNARD HEALTH AND WELLNESS CENTER
Street 800 COMMERCIAL AVE
City OXNARD
State CA
ZIP 93030
Phone 805 204-5265
CertificateType 4
CertificateEffectiveDate 6/25/2023
CertificateExpirationDate 6/24/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024