05D0915458 CLIA NUMBER - DAP HEALTH - CENTRO MEDICO EL CAJON

Laboratory Demographics

CLIA Number: 05D0915458

Facility Name: DAP HEALTH - CENTRO MEDICO EL CAJON

Facility Address:
133 W MAIN ST STE 100
EL CAJON, CA
ZIP 92020
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Facility Phone Number: 760 323-2118

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1154480069

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0915458
LAB Type	Federally Qualified Health Center
Facility Name	DAP HEALTH - CENTRO MEDICO EL CAJON
Street	133 W MAIN ST STE 100
City	EL CAJON
State	CA
ZIP	92020
Phone	760 323-2118
CertificateType	3
CertificateEffectiveDate	12/14/2022
CertificateExpirationDate	12/13/2024
FacilityType	PPMP

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