05D0585769 CLIA NUMBER - KERN RIVER COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D0585769
  • Facility Name: KERN RIVER COMMUNITY HEALTH CENTER
  • Facility Address: 67 EVANS RD
    WOFFORD HEIGHTS, CA
    ZIP 93285
  • Facility Phone: 760 376-2276
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: OLGA MEAVE
  • NPI Number: 1992829758
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0585769
LAB Type Federally Qualified Health Center
Facility Name KERN RIVER COMMUNITY HEALTH CENTER
Street 67 EVANS RD
City WOFFORD HEIGHTS
State CA
ZIP 93285
Phone 760 376-2276
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Federally Qualified Health Center
Lab Director OLGA MEAVE

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