05D2117852 CLIA NUMBER - KOMOTO MEDICAL PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2117852
  • Facility Name: KOMOTO MEDICAL PHARMACY
  • Facility Address: 2110 TRUXTON AVE STE 100
    BAKERSFIELD, CA
    ZIP 93301
  • Facility Phone: 661 327-7524
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL A. URMSTON
  • NPI Number: 1891728226
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2117852
LAB Type Pharmacy
Facility Name KOMOTO MEDICAL PHARMACY
Street 2110 TRUXTON AVE STE 100
City BAKERSFIELD
State CA
ZIP 93301
Phone 661 327-7524
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Pharmacy
Lab Director MICHAEL A. URMSTON

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