Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
05D1088757
|
|
Clinical laboratory number
|
|
Lab Name
|
PACIFIC PAIN MANAGEMENT
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
805-644-4930
|
|
Laboratory telephone number
|
|
Fax
|
805-654-1284
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
1280 S VICTORIA AVE #204
|
|
Primary location adress line
|
|
City
|
VENTURA
|
|
Primary location city name
|
|
State
|
CA
|
|
Primary location state name
|
|
Zip
|
93003
|
|
Primary location postal code
|