05D2145211 CLIA NUMBER - LAC MEDICAL INC

Laboratory Demographics

  • CLIA Code: 05D2145211
  • Facility Name: LAC MEDICAL INC
  • Facility Address: 500 OLD RIVER ROAD, SUITE 155
    BAKERSFIELD, CA
    ZIP 93311
  • Facility Phone: 661 735-1710
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOHN FOSBINDER
  • NPI Number: 1366992919
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2145211
LAB Type Physician Office
Facility Name LAC MEDICAL INC
Street 500 OLD RIVER ROAD, SUITE 155
City BAKERSFIELD
State CA
ZIP 93311
Phone 661 735-1710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Physician Office
Lab Director DR. JOHN FOSBINDER

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