05D0973961 CLIA NUMBER - MARIO CEJA, MD

Laboratory Demographics

  • CLIA Code: 05D0973961
  • Facility Name: MARIO CEJA, MD
  • Facility Address: 251 WEST COLE BLVD
    CALEXICO, CA
    ZIP 92231
  • Facility Phone: 760 357-3768
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIO CEJA, MD
  • NPI Number: 1891753315
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0973961
LAB Type Physician Office
Facility Name MARIO CEJA, MD
Street 251 WEST COLE BLVD
City CALEXICO
State CA
ZIP 92231
Phone 760 357-3768
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Physician Office
Lab Director MARIO CEJA, MD

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