05D2017631 CLIA NUMBER - BRIAN K GAW MD INC

Laboratory Demographics

  • CLIA Code: 05D2017631
  • Facility Name: BRIAN K GAW MD INC
  • Facility Address: 1669 WEST AVENUE J SUITE 304
    LANCASTER, CA
    ZIP 93534
  • Facility Phone: 661 951-7888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIAN K. GAW
  • NPI Number: 1457354391
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D2017631
LAB Type Physician Office
Facility Name BRIAN K GAW MD INC
Street 1669 WEST AVENUE J SUITE 304
City LANCASTER
State CA
ZIP 93534
Phone 661 951-7888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Physician Office
Lab Director BRIAN K. GAW

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