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05D0586429 CLIA NUMBER - CLINICA SIERRA VISTA DBA EAST BAKERSFIELD COMMUNITY HEALTH CENTER

Laboratory Demographics

CLIA Number: 05D0586429

Facility Name: CLINICA SIERRA VISTA DBA EAST BAKERSFIELD COMMUNITY HEALTH CENTER

Facility Address:
815 DR MARTIN LUTHER KING JR BLVD
BAKERSFIELD, CA
ZIP 93307
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Facility Phone Number: 661 322-3905

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver
NPI Number: 1245364538

Taxonomy: 261QF0050X - Clinic/Center
An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives.

CLIA Record

Field Name Field Value
CLIA Number 05D0586429
LAB Type Federally Qualified Health Center
Facility Name CLINICA SIERRA VISTA DBA EAST BAKERSFIELD COMMUNITY HEALTH CENTER
Street 815 DR MARTIN LUTHER KING JR BLVD
City BAKERSFIELD
State CA
ZIP 93307
Phone 661 322-3905
CertificateType 4
CertificateEffectiveDate 2/1/2024
CertificateExpirationDate 1/31/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024