05D0956124 CLIA NUMBER - CALIFORNIA HEART AND VASCULAR CLINIC

Laboratory Demographics

CLIA Number: 05D0956124

Facility Name: CALIFORNIA HEART AND VASCULAR CLINIC

Facility Address:
790 W ORANGE AVE STE B
EL CENTRO, CA
ZIP 92243
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Facility Phone Number: 760 353-3222

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1184017261

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	05D0956124
LAB Type	Physician Office
Facility Name	CALIFORNIA HEART AND VASCULAR CLINIC
Street	790 W ORANGE AVE STE B
City	EL CENTRO
State	CA
ZIP	92243
Phone	760 353-3222
CertificateType	2
CertificateEffectiveDate	2/7/2022
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

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