05D1069541 CLIA NUMBER - SAN MICHAEL PEDIATRICS INC

Laboratory Demographics

  • CLIA Code: 05D1069541
  • Facility Name: SAN MICHAEL PEDIATRICS INC
  • Facility Address: 3015 CALLOWAY DR STE 12
    BAKERSFIELD, CA
    ZIP 93312
  • Facility Phone: 661 587-6464
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EMAD F. SHAFIC MD
  • NPI Number: 1821292012
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1069541
LAB Type Physician Office
Facility Name SAN MICHAEL PEDIATRICS INC
Street 3015 CALLOWAY DR STE 12
City BAKERSFIELD
State CA
ZIP 93312
Phone 661 587-6464
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Physician Office
Lab Director EMAD F. SHAFIC MD

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