05D0871536 CLIA NUMBER - MESA WEST MEDICAL

Laboratory Demographics

  • CLIA Code: 05D0871536
  • Facility Name: MESA WEST MEDICAL
  • Facility Address: 8327 BRIMHALL ROAD, BLDG 700, SUITE 704
    BAKERSFIELD, CA
    ZIP 93312
  • Facility Phone: 661 617-6750
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM E. GILLI MD
  • NPI Number: 1821294596
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0871536
LAB Type Physician Office
Facility Name MESA WEST MEDICAL
Street 8327 BRIMHALL ROAD, BLDG 700, SUITE 704
City BAKERSFIELD
State CA
ZIP 93312
Phone 661 617-6750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Physician Office
Lab Director WILLIAM E. GILLI MD

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