05D0861068 CLIA NUMBER - GOLDEN VALLEY MEDICAL ASSOC INC

Laboratory Demographics

CLIA Number: 05D0861068

Facility Name: GOLDEN VALLEY MEDICAL ASSOC INC

Facility Address:
4813 COFFEE RD STE 200
BAKERSFIELD, CA
ZIP 93308
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Facility Phone Number: 661 664-0252

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1295756310

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D0861068
LAB Type	Physician Office
Facility Name	GOLDEN VALLEY MEDICAL ASSOC INC
Street	4813 COFFEE RD STE 200
City	BAKERSFIELD
State	CA
ZIP	93308
Phone	661 664-0252
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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