05D1079679 CLIA NUMBER - BAKERSFIELD FAMILY MEDICAL CENTER NORTHEAST

Laboratory Demographics

  • CLIA Code: 05D1079679
  • Facility Name: BAKERSFIELD FAMILY MEDICAL CENTER NORTHEAST
  • Facility Address: 5601 AUBURN ST, SUITE A
    BAKERSFIELD, CA
    ZIP 93306
  • Facility Phone: 661 616-9700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JU HWAN LEE
  • NPI Number: 1053345991
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 05D1079679
LAB Type Physician Office
Facility Name BAKERSFIELD FAMILY MEDICAL CENTER NORTHEAST
Street 5601 AUBURN ST, SUITE A
City BAKERSFIELD
State CA
ZIP 93306
Phone 661 616-9700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2024
Certificate Expiration Date 8/24/2026
Facility Type Physician Office
Lab Director JU HWAN LEE

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