05D0670166 CLIA NUMBER - IMPERIAL COUNTY PUBLIC HEALTH LABORATORY

Laboratory Demographics

  • CLIA Code: 05D0670166
  • Facility Name: IMPERIAL COUNTY PUBLIC HEALTH LABORATORY
  • Facility Address: 935 BROADWAY
    EL CENTRO, CA
    ZIP 92243
  • Facility Phone: 442 265-1427
  • Facility Type: Public Health Laboratories
  • Facility Type: Certificate of Compliance
  • Lab Director: HOLLY E. MAAG PHM
  • NPI Number: 1033745757
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0670166
LAB Type Public Health Laboratories
Facility Name IMPERIAL COUNTY PUBLIC HEALTH LABORATORY
Street 935 BROADWAY
City EL CENTRO
State CA
ZIP 92243
Phone 442 265-1427
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Public Health Laboratories
Lab Director HOLLY E. MAAG PHM

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