05D2267701 CLIA NUMBER - EDUARDO B BERMUDEZ, MD

Laboratory Demographics

  • CLIA Code: 05D2267701
  • Facility Name: EDUARDO B BERMUDEZ, MD
  • Facility Address: 3031 G STREET
    SACRAMENTO, CA
    ZIP 95816
  • Facility Phone: 916 440-9652
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDUARDO BERMUDEZ
  • NPI Number: 1760194120
  • Taxonomy: 106S00000X - Behavior Technician

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CLIA Record

Field Name Field Value
CLIA Number 05D2267701
LAB Type Physician Office
Facility Name EDUARDO B BERMUDEZ, MD
Street 3031 G STREET
City SACRAMENTO
State CA
ZIP 95816
Phone 916 440-9652
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type Physician Office
Lab Director EDUARDO BERMUDEZ

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