05D2292561 CLIA NUMBER - MAIN STREET OB GYN A DIVISION OF BASS MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D2292561
  • Facility Name: MAIN STREET OB GYN A DIVISION OF BASS MEDICAL GROUP
  • Facility Address: 2415 MAIN ST
    VENTURA, CA
    ZIP 93003
  • Facility Phone: 805 454-7133
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MEAGHAN PINHEIRO
  • NPI Number: 1609523158
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D2292561
LAB Type Physician Office
Facility Name MAIN STREET OB GYN A DIVISION OF BASS MEDICAL GROUP
Street 2415 MAIN ST
City VENTURA
State CA
ZIP 93003
Phone 805 454-7133
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Physician Office
Lab Director MEAGHAN PINHEIRO

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This page was last updated on: 3/20/2025