05D2009506 CLIA NUMBER - RIVERLAKES SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 05D2009506
  • Facility Name: RIVERLAKES SURGERY CENTER LLC
  • Facility Address: 7508 MEANY AVENUE, SUITE B
    BAKERSFIELD, CA
    ZIP 93308
  • Facility Phone: 661 410-0010
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DAVID B. HAIR
  • NPI Number: 1659609311
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2009506
LAB Type Ambulatory Surgery Center
Facility Name RIVERLAKES SURGERY CENTER LLC
Street 7508 MEANY AVENUE, SUITE B
City BAKERSFIELD
State CA
ZIP 93308
Phone 661 410-0010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Ambulatory Surgery Center
Lab Director DAVID B. HAIR

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