05D0586114 CLIA NUMBER - SAN DIMAS PEDIATRICS DBA VALLEY CHILDREN'S MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D0586114
  • Facility Name: SAN DIMAS PEDIATRICS DBA VALLEY CHILDREN'S MEDICAL GROUP
  • Facility Address: 500 40TH ST
    BAKERSFIELD, CA
    ZIP 93301
  • Facility Phone: 661 327-3784
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID CHRISTENSEN
  • NPI Number: 1043495047
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D0586114
LAB Type Physician Office
Facility Name SAN DIMAS PEDIATRICS DBA VALLEY CHILDREN'S MEDICAL GROUP
Street 500 40TH ST
City BAKERSFIELD
State CA
ZIP 93301
Phone 661 327-3784
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DAVID CHRISTENSEN

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