05D2322977 CLIA NUMBER - VIP URGENT CARE INC

Laboratory Demographics

  • CLIA Code: 05D2322977
  • Facility Name: VIP URGENT CARE INC
  • Facility Address: 3967 E THOUSAND OAKS BLVD STE 140
    WESTLAKE VILLAGE, CA
    ZIP 91362
  • Facility Phone: 805 410-4203
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW P. BEATTY
  • NPI Number: 1043020407
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2322977
LAB Type Physician Office
Facility Name VIP URGENT CARE INC
Street 3967 E THOUSAND OAKS BLVD STE 140
City WESTLAKE VILLAGE
State CA
ZIP 91362
Phone 805 410-4203
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Physician Office
Lab Director MATTHEW P. BEATTY

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