05D2153331 CLIA NUMBER - GREATER BAKERSFIELD DIALYSIS CENTER, LLC

Laboratory Demographics

  • CLIA Code: 05D2153331
  • Facility Name: GREATER BAKERSFIELD DIALYSIS CENTER, LLC
  • Facility Address: 5101 WHITE LANE SUITE A
    BAKERSFIELD, CA
    ZIP 93309
  • Facility Phone: 661 398-2251
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: PARHAM A. MOKRI
  • NPI Number: 1700383601
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2153331
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GREATER BAKERSFIELD DIALYSIS CENTER, LLC
Street 5101 WHITE LANE SUITE A
City BAKERSFIELD
State CA
ZIP 93309
Phone 661 398-2251
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 End Stage Renal Disease Dialysis Facility
Lab Director PARHAM A. MOKRI

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This page was last updated on: 3/20/2025