05D1072544 CLIA NUMBER - JAY KENNETH P BUENAFLOR, MD A MEDICAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D1072544
  • Facility Name: JAY KENNETH P BUENAFLOR, MD A MEDICAL CORPORATION
  • Facility Address: 608 G ST STE 2-A
    BRAWLEY, CA
    ZIP 92227
  • Facility Phone: 760 351-2127
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAY KENNETH P. BUENAFLOR MD
  • NPI Number: 1720166770
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D1072544
LAB Type Physician Office
Facility Name JAY KENNETH P BUENAFLOR, MD A MEDICAL CORPORATION
Street 608 G ST STE 2-A
City BRAWLEY
State CA
ZIP 92227
Phone 760 351-2127
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type Physician Office
Lab Director JAY KENNETH P. BUENAFLOR MD

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