05D0937963 CLIA NUMBER - SAN JOAQUIN VALLEY PULMONARY MED GROUP

Laboratory Demographics

  • CLIA Code: 05D0937963
  • Facility Name: SAN JOAQUIN VALLEY PULMONARY MED GROUP
  • Facility Address: 5801 TRUXTUN AVE
    BAKERSFIELD, CA
    ZIP 93309
  • Facility Phone: 661 327-3747
  • Facility Type: Other - MULTI SPECIALTY GROUP
  • Facility Type: Waiver
  • Lab Director: MUSHTAQ AHMED MD
  • NPI Number: 1932149283
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0937963
LAB Type Other - MULTI SPECIALTY GROUP
Facility Name SAN JOAQUIN VALLEY PULMONARY MED GROUP
Street 5801 TRUXTUN AVE
City BAKERSFIELD
State CA
ZIP 93309
Phone 661 327-3747
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Other - MULTI SPECIALTY GROUP
Lab Director MUSHTAQ AHMED MD

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