05D2016980 CLIA NUMBER - PREMIER WOMEN'S MEDICAL GROUP INC

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Laboratory Demographics

CLIA Number: 05D2016980

Facility Name: PREMIER WOMEN'S MEDICAL GROUP INC

Facility Address:
8305 BRIMHALL RD BLDG 1600 STE 1602
BAKERSFIELD, CA
ZIP 93312
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Facility Phone Number: 661 829-7500

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1629547849

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	05D2016980
LAB Type	Physician Office
Facility Name	PREMIER WOMEN'S MEDICAL GROUP INC
Street	8305 BRIMHALL RD BLDG 1600 STE 1602
City	BAKERSFIELD
State	CA
ZIP	93312
Phone	661 829-7500
CertificateType	4
CertificateEffectiveDate	12/1/2022
CertificateExpirationDate	11/30/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024