05D2061815 CLIA NUMBER - AGILE OCCUPATIONAL MEDICINE, PC

Laboratory Demographics

  • CLIA Code: 05D2061815
  • Facility Name: AGILE OCCUPATIONAL MEDICINE, PC
  • Facility Address: 4100 TRUXTUN AVE STE 200
    BAKERSFIELD, CA
    ZIP 93309
  • Facility Phone: 760 828-5681
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MINH NGUYEN
  • NPI Number: 1528839172
  • Taxonomy: 261QX0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2061815
LAB Type Physician Office
Facility Name AGILE OCCUPATIONAL MEDICINE, PC
Street 4100 TRUXTUN AVE STE 200
City BAKERSFIELD
State CA
ZIP 93309
Phone 760 828-5681
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Physician Office
Lab Director MINH NGUYEN

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