05D1032613 CLIA NUMBER - KD MEDICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 05D1032613
  • Facility Name: KD MEDICAL GROUP INC
  • Facility Address: 400 W I ST
    LOS BANOS, CA
    ZIP 93635
  • Facility Phone: 209 826-9999
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: SCOTT SILVIERA
  • NPI Number: 1457522567
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1032613
LAB Type Independent
Facility Name KD MEDICAL GROUP INC
Street 400 W I ST
City LOS BANOS
State CA
ZIP 93635
Phone 209 826-9999
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/5/2024
Certificate Expiration Date 8/4/2026
Facility Type Independent
Lab Director SCOTT SILVIERA

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