05D0571618 CLIA NUMBER - AURORA SAN DIEGO LLC

Laboratory Demographics

CLIA Number: 05D0571618

Facility Name: AURORA SAN DIEGO LLC

Facility Address:
11878 AVENUE OF INDUSTRY
SAN DIEGO, CA
ZIP 92128
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Facility Phone Number: 858 675-4210

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1598722027

Taxonomy: 283Q00000X - Psychiatric Hospital
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

CLIA Record

Field Name	Field Value
CLIA Number	05D0571618
LAB Type	Other
Facility Name	AURORA SAN DIEGO LLC
Street	11878 AVENUE OF INDUSTRY
City	SAN DIEGO
State	CA
ZIP	92128
Phone	858 675-4210
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024