05D0586114 CLIA NUMBER - SAN DIMAS PEDIATRICS

Laboratory Demographics

CLIA Number: 05D0586114

Facility Name: SAN DIMAS PEDIATRICS

Facility Address:
500 40TH ST
BAKERSFIELD, CA
ZIP 93301
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Facility Phone Number: (661) 327-3784

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1043495047

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	05D0586114
LAB Type	PHYSICIAN OFFICE
Facility Name	SAN DIMAS PEDIATRICS
Street	500 40TH ST
City	BAKERSFIELD
State	CA
ZIP	93301
Phone	(661) 327-3784

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This page was last updated on: 5/11/2023