05D2098635 CLIA NUMBER - CLINICA SIERRA VISTA DBA WEST FRESNO COMMUNITY HEALTH CENTER

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Laboratory Demographics

CLIA Number: 05D2098635

Facility Name: CLINICA SIERRA VISTA DBA WEST FRESNO COMMUNITY HEALTH CENTER

Facility Address:
1015 BAKER ST, STE #4
BAKERSFIELD, CA
ZIP 93305
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Facility Phone Number: 661 328-4283

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1205222544

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2098635
LAB Type	Federally Qualified Health Center
Facility Name	CLINICA SIERRA VISTA DBA WEST FRESNO COMMUNITY HEALTH CENTER
Street	1015 BAKER ST, STE #4
City	BAKERSFIELD
State	CA
ZIP	93305
Phone	661 328-4283
CertificateType	4
CertificateEffectiveDate	7/10/2023
CertificateExpirationDate	7/9/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024