05D2018601 CLIA NUMBER - MICHAEL KOMIN MD MEDICAL CORP

Laboratory Demographics

  • CLIA Code: 05D2018601
  • Facility Name: MICHAEL KOMIN MD MEDICAL CORP
  • Facility Address: 1150 E LERDO HWY STE C
    SHAFTER, CA
    ZIP 93263
  • Facility Phone: 661 630-5890
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL L. KOMIN
  • NPI Number: 1437104858
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2018601
LAB Type Physician Office
Facility Name MICHAEL KOMIN MD MEDICAL CORP
Street 1150 E LERDO HWY STE C
City SHAFTER
State CA
ZIP 93263
Phone 661 630-5890
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2024
Certificate Expiration Date 12/12/2026
Facility Type Physician Office
Lab Director MICHAEL L. KOMIN

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