05D0949912 CLIA NUMBER - KEVORK BOULDOUKIAN, MD

Laboratory Demographics

  • CLIA Code: 05D0949912
  • Facility Name: KEVORK BOULDOUKIAN, MD
  • Facility Address: 2128 TRUXTUN AVENUE
    BAKERSFIELD, CA
    ZIP 93301
  • Facility Phone: 661 633-9080
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVORK A. BOULDOUKIAN MD
  • NPI Number: 1720020464
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0949912
LAB Type Physician Office
Facility Name KEVORK BOULDOUKIAN, MD
Street 2128 TRUXTUN AVENUE
City BAKERSFIELD
State CA
ZIP 93301
Phone 661 633-9080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Physician Office
Lab Director KEVORK A. BOULDOUKIAN MD

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