05D0899079 CLIA NUMBER - AZUSA PACIFIC UNIVERSITY HEALTH CENTER

Laboratory Demographics

CLIA Number: 05D0899079

Facility Name: AZUSA PACIFIC UNIVERSITY HEALTH CENTER

Facility Address:
901 E ALOSTA AVE
AZUSA, CA
ZIP 91702
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Facility Phone Number: 626 815-2100

Facility Type: School/Student Health Service

Certificate Type: Microscopy

NPI Number: 1104002146

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	05D0899079
LAB Type	School/Student Health Service
Facility Name	AZUSA PACIFIC UNIVERSITY HEALTH CENTER
Street	901 E ALOSTA AVE
City	AZUSA
State	CA
ZIP	91702
Phone	626 815-2100
CertificateType	3
CertificateEffectiveDate	3/20/2023
CertificateExpirationDate	3/19/2025
FacilityType	PPMP

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