05D1002465 CLIA NUMBER - SOUTH BAKERFIELD COMMUNITY HEALTH CENTER

Laboratory Demographics

CLIA Number: 05D1002465

Facility Name: SOUTH BAKERFIELD COMMUNITY HEALTH CENTER

Facility Address:
2400 WIBLE ROAD SUITE 14
BAKERSFIELD, CA
ZIP 93305
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Facility Phone Number: 661 835-1240

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1396879680

Taxonomy: 261QF0050X - Clinic/Center
An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives.

CLIA Record

Field Name	Field Value
CLIA Number	05D1002465
LAB Type	Federally Qualified Health Center
Facility Name	SOUTH BAKERFIELD COMMUNITY HEALTH CENTER
Street	2400 WIBLE ROAD SUITE 14
City	BAKERSFIELD
State	CA
ZIP	93305
Phone	661 835-1240
CertificateType	4
CertificateEffectiveDate	2/8/2023
CertificateExpirationDate	2/7/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024