05D2074618 CLIA NUMBER - PINNACLE PRIMARY CARE-CENTRAL INC

Laboratory Demographics

  • CLIA Code: 05D2074618
  • Facility Name: PINNACLE PRIMARY CARE-CENTRAL INC
  • Facility Address: 1520 BRUNDAGE LN
    BAKERSFIELD, CA
    ZIP 93304
  • Facility Phone: 661 321-9138
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: ASELA JUMAO-AS
  • NPI Number: 1629541685
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2074618
LAB Type Community Clinic
Facility Name PINNACLE PRIMARY CARE-CENTRAL INC
Street 1520 BRUNDAGE LN
City BAKERSFIELD
State CA
ZIP 93304
Phone 661 321-9138
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type Community Clinic
Lab Director ASELA JUMAO-AS

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