05D2081394 CLIA NUMBER - VALLEY CHILDREN'S MEDICAL GROUP STOCKDALE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 05D2081394
  • Facility Name: VALLEY CHILDREN'S MEDICAL GROUP STOCKDALE PEDIATRICS
  • Facility Address: 9880 BRIMHALL ROAD
    BAKERSFIELD, CA
    ZIP 93312
  • Facility Phone: 559 353-5025
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID CHRISTENSEN
  • NPI Number: 1134947930
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 05D2081394
LAB Type Physician Office
Facility Name VALLEY CHILDREN'S MEDICAL GROUP STOCKDALE PEDIATRICS
Street 9880 BRIMHALL ROAD
City BAKERSFIELD
State CA
ZIP 93312
Phone 559 353-5025
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2024
Certificate Expiration Date 7/23/2026
Facility Type Physician Office
Lab Director DAVID CHRISTENSEN

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