05D2294564 CLIA NUMBER - CENTENNIAL MEDICAL GROUP, INC.

Laboratory Demographics

  • CLIA Code: 05D2294564
  • Facility Name: CENTENNIAL MEDICAL GROUP, INC.
  • Facility Address: 1801 16TH ST SUITE A
    BAKERSFIELD, CA
    ZIP 93301
  • Facility Phone: 661 326-8989
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NELSON MADRILEJO
  • NPI Number: 1841370368
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D2294564
LAB Type Physician Office
Facility Name CENTENNIAL MEDICAL GROUP, INC.
Street 1801 16TH ST SUITE A
City BAKERSFIELD
State CA
ZIP 93301
Phone 661 326-8989
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2023
Certificate Expiration Date 11/27/2025
Facility Type Physician Office
Lab Director NELSON MADRILEJO

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