05D0929960 CLIA NUMBER - COASTAL KIDS, A MEDICAL PROFESSIONAL CORP SOUTHWEST PEDIATRICS

Laboratory Demographics

  • CLIA Code: 05D0929960
  • Facility Name: COASTAL KIDS, A MEDICAL PROFESSIONAL CORP SOUTHWEST PEDIATRICS
  • Facility Address: 9802 STOCKDALE HWY STE 103
    BAKERSFIELD, CA
    ZIP 93311
  • Facility Phone: 714 842-0444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LILIA F. COPPA
  • NPI Number: 1730160797
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 05D0929960
LAB Type Physician Office
Facility Name COASTAL KIDS, A MEDICAL PROFESSIONAL CORP SOUTHWEST PEDIATRICS
Street 9802 STOCKDALE HWY STE 103
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 6/26/2025
Certificate Expiration Date 6/25/2027
Facility Type Physician Office
Lab Director LILIA F. COPPA

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