05D2315355 CLIA NUMBER - PERIDOT HEALTH MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 05D2315355
  • Facility Name: PERIDOT HEALTH MEDICAL CLINIC
  • Facility Address: 221 ELMO HIGHWAY SUITE 300
    MC FARLAND, CA
    ZIP 93250
  • Facility Phone: 661 927-7020
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: OLOLADE O. OLADIMEJI
  • NPI Number: 1962255661
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2315355
LAB Type Rural Health Clinic
Facility Name PERIDOT HEALTH MEDICAL CLINIC
Street 221 ELMO HIGHWAY SUITE 300
City MC FARLAND
State CA
ZIP 93250
Phone 661 927-7020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type Rural Health Clinic
Lab Director OLOLADE O. OLADIMEJI

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