05D0686990 CLIA NUMBER - AEGIS TREATMENT CENTERS, LLC

Laboratory Demographics

  • CLIA Code: 05D0686990
  • Facility Name: AEGIS TREATMENT CENTERS, LLC
  • Facility Address: 125 W F ST
    ONTARIO, CA
    ZIP 91762
  • Facility Phone: 818 206-0360
  • Facility Type: Other - NARCOTIC TREATMENT PROGRA
  • Facility Type: Waiver
  • Lab Director: BARRY S. SOLOF
  • NPI Number: 1013353861
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0686990
LAB Type Other - NARCOTIC TREATMENT PROGRA
Facility Name AEGIS TREATMENT CENTERS, LLC
Street 125 W F ST
City ONTARIO
State CA
ZIP 91762
Phone 818 206-0360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Other - NARCOTIC TREATMENT PROGRA
Lab Director BARRY S. SOLOF

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