05D0988045 CLIA NUMBER - ALEGRIA ADULT DAY HEALTH CARE CENTER

Laboratory Demographics

CLIA Number: 05D0988045

Facility Name: ALEGRIA ADULT DAY HEALTH CARE CENTER

Facility Address:
1101 CN PERRY AVE
CALEXICO, CA
ZIP 92231
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Facility Phone Number: 760 768-8419

Facility Type: Other - ADHC/CBAS

Certificate Type: Waiver

NPI Number: 1356555882

Taxonomy: 261QA0600X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 05D0988045
LAB Type Other - ADHC/CBAS
Facility Name ALEGRIA ADULT DAY HEALTH CARE CENTER
Street 1101 CN PERRY AVE
City CALEXICO
State CA
ZIP 92231
Phone 760 768-8419
CertificateType 4
CertificateEffectiveDate 6/19/2023
CertificateExpirationDate 6/18/2025
FacilityType Waiver

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