05D0687001 CLIA NUMBER - AEGIS TREATMENT CENTERS, LLC

Laboratory Demographics

  • CLIA Code: 05D0687001
  • Facility Name: AEGIS TREATMENT CENTERS, LLC
  • Facility Address: 3707 E SHIELDS AVE
    FRESNO, CA
    ZIP 93726
  • Facility Phone: 559 229-9040
  • Facility Type: Other - NARCOTIC TRTMENT PROGRAM
  • Facility Type: Waiver
  • Lab Director: MARC D. LASHER DO
  • NPI Number: 1689010423
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0687001
LAB Type Other - NARCOTIC TRTMENT PROGRAM
Facility Name AEGIS TREATMENT CENTERS, LLC
Street 3707 E SHIELDS AVE
City FRESNO
State CA
ZIP 93726
Phone 559 229-9040
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 TRTMENT PROGRAM
Lab Director MARC D. LASHER DO

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