05D2172292 CLIA NUMBER - DIGNITY HEALTH MANAGEMENT SERVICES ORGANIZATION

Laboratory Demographics

  • CLIA Code: 05D2172292
  • Facility Name: DIGNITY HEALTH MANAGEMENT SERVICES ORGANIZATION
  • Facility Address: 4550 CALIFORNIA AVE, SUITE 100
    BAKERSFIELD, CA
    ZIP 93309
  • Facility Phone: 661 716-7118
  • Facility Type: Health Fair
  • Facility Type: Waiver
  • Lab Director: CARY S. SHAKESPEARE
  • NPI Number: 1083308241
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 05D2172292
LAB Type Health Fair
Facility Name DIGNITY HEALTH MANAGEMENT SERVICES ORGANIZATION
Street 4550 CALIFORNIA AVE, SUITE 100
City BAKERSFIELD
State CA
ZIP 93309
Phone 661 716-7118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2023
Certificate Expiration Date 9/18/2025
Facility Type Health Fair
Lab Director CARY S. SHAKESPEARE

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This page was last updated on: 6/4/2025