05D2135348 CLIA NUMBER - PHILIP G KHOURY, DO INC

Laboratory Demographics

  • CLIA Code: 05D2135348
  • Facility Name: PHILIP G KHOURY, DO INC
  • Facility Address: 3850 RIVERLAKES DRIVE, STE B
    BAKERSFIELD, CA
    ZIP 93312
  • Facility Phone: 661 241-9330
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PHILIP G. KHOURY
  • NPI Number: 1083926232
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 05D2135348
LAB Type Physician Office
Facility Name PHILIP G KHOURY, DO INC
Street 3850 RIVERLAKES DRIVE, STE B
City BAKERSFIELD
State CA
ZIP 93312
Phone 661 241-9330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2024
Certificate Expiration Date 6/4/2026
Facility Type Physician Office
Lab Director PHILIP G. KHOURY

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