05D2052620 CLIA NUMBER - CENTRAL VALLEY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2052620
  • Facility Name: CENTRAL VALLEY SURGERY CENTER
  • Facility Address: 2725 16TH ST, STE A
    BAKERSFIELD, CA
    ZIP 93301
  • Facility Phone: 661 401-2800
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ALAN P. MOELLEKEN
  • NPI Number: 1487920716
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2052620
LAB Type Ambulatory Surgery Center
Facility Name CENTRAL VALLEY SURGERY CENTER
Street 2725 16TH ST, STE A
City BAKERSFIELD
State CA
ZIP 93301
Phone 661 401-2800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2025
Certificate Expiration Date 1/14/2027
Facility Type Ambulatory Surgery Center
Lab Director ALAN P. MOELLEKEN

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