05D2283416 CLIA NUMBER - CMHS MIDTOWN MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D2283416
  • Facility Name: CMHS MIDTOWN MEDICAL GROUP
  • Facility Address: 3655 WEST 5TH STREET
    OXNARD, CA
    ZIP 93030
  • Facility Phone: 805 948-4442
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUN MOON LEE
  • NPI Number: 1932732609
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2283416
LAB Type Physician Office
Facility Name CMHS MIDTOWN MEDICAL GROUP
Street 3655 WEST 5TH STREET
City OXNARD
State CA
ZIP 93030
Phone 805 948-4442
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Physician Office
Lab Director SUN MOON LEE

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