05D1056729 CLIA NUMBER - FERNANDO B BRAVO, MD INC

Laboratory Demographics

  • CLIA Code: 05D1056729
  • Facility Name: FERNANDO B BRAVO, MD INC
  • Facility Address: 3110 LATTE LN
    BAKERSFIELD, CA
    ZIP 93312
  • Facility Phone: 661 829-7990
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FERNANDO B. BRAVO
  • NPI Number: 1598073736
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 05D1056729
LAB Type Physician Office
Facility Name FERNANDO B BRAVO, MD INC
Street 3110 LATTE LN
City BAKERSFIELD
State CA
ZIP 93312
Phone 661 829-7990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2024
Certificate Expiration Date 7/23/2026
Facility Type Physician Office
Lab Director FERNANDO B. BRAVO

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