05D0898868 CLIA NUMBER - COASTAL KIDS BAKERSFIELD PEDIATRICS

Laboratory Demographics

  • CLIA Code: 05D0898868
  • Facility Name: COASTAL KIDS BAKERSFIELD PEDIATRICS
  • Facility Address: 300 OLD RIVER RD STE 105
    BAKERSFIELD, CA
    ZIP 93311
  • Facility Phone: 714 842-0444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LILIA F. COPPA
  • NPI Number: 1457856882
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0898868
LAB Type Physician Office
Facility Name COASTAL KIDS BAKERSFIELD PEDIATRICS
Street 300 OLD RIVER RD STE 105
City BAKERSFIELD
State CA
ZIP 93311
Phone 714 842-0444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Physician Office
Lab Director LILIA F. COPPA

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