05D2043114 CLIA NUMBER - COFFEE SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 05D2043114
  • Facility Name: COFFEE SURGERY CENTER LLC
  • Facility Address: 2525 EYE ST STE 100
    BAKERSFIELD, CA
    ZIP 93301
  • Facility Phone: 661 325-5437
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BARTON FISCHER MD
  • NPI Number: 1457643405
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2043114
LAB Type Ambulatory Surgery Center
Facility Name COFFEE SURGERY CENTER LLC
Street 2525 EYE ST STE 100
City BAKERSFIELD
State CA
ZIP 93301
Phone 661 325-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2024
Certificate Expiration Date 6/26/2026
Facility Type Ambulatory Surgery Center
Lab Director BARTON FISCHER MD

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