05D0562647 CLIA NUMBER - ROBERT L BAKER MD

Laboratory Demographics

  • CLIA Code: 05D0562647
  • Facility Name: ROBERT L BAKER MD
  • Facility Address: 250 W BADILLO STREET
    COVINA, CA
    ZIP 91723
  • Facility Phone: 818 967-6225
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROBERT L. BAKER
  • NPI Number: 1033107750
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0562647
LAB Type Physician Office
Facility Name ROBERT L BAKER MD
Street 250 W BADILLO STREET
City COVINA
State CA
ZIP 91723
Phone 818 967-6225
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ROBERT L. BAKER

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