05D2118898 CLIA NUMBER - SHAFTER PEDIATRICS

Laboratory Demographics

  • CLIA Code: 05D2118898
  • Facility Name: SHAFTER PEDIATRICS
  • Facility Address: 501 MUNZER ST STE C
    SHAFTER, CA
    ZIP 93263
  • Facility Phone: 661 364-5244
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AYODEJI A. AYENI, MD
  • NPI Number: 1811362908
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D2118898
LAB Type Physician Office
Facility Name SHAFTER PEDIATRICS
Street 501 MUNZER ST STE C
City SHAFTER
State CA
ZIP 93263
Phone 661 364-5244
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2024
Certificate Expiration Date 9/14/2026
Facility Type Physician Office
Lab Director AYODEJI A. AYENI, MD

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