05D2316819 CLIA NUMBER - OXNARD REHAB LLC

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Field Name	Field Value
CLIA Number	05D2316819
LAB Type	Other - IOP
Facility Name	OXNARD REHAB LLC
Street	721 S A ST, 1ST FL
City	OXNARD
State	CA
ZIP	93030
Phone	310 343-8684
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	1/13/2025
Certificate Expiration Date	1/12/2027
Facility Type	Other - IOP
Lab Director	JISEUNG YOON

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