05D1017967 CLIA NUMBER - IMPERIAL COUNTY PUBLIC HEALTH DEPARTMENT O A C AND T PROGRAM

Laboratory Demographics

  • CLIA Code: 05D1017967
  • Facility Name: IMPERIAL COUNTY PUBLIC HEALTH DEPARTMENT O A C AND T PROGRAM
  • Facility Address: 935 BROADWAY
    EL CENTRO, CA
    ZIP 92243
  • Facility Phone: 760 482-4438
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: BENJAMIN LEHR MF
  • NPI Number: 1790701142
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 05D1017967
LAB Type Community Clinic
Facility Name IMPERIAL COUNTY PUBLIC HEALTH DEPARTMENT O A C AND T PROGRAM
Street 935 BROADWAY
City EL CENTRO
State CA
ZIP 92243
Phone 760 482-4438
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2025
Certificate Expiration Date 10/8/2027
Facility Type Community Clinic
Lab Director BENJAMIN LEHR MF

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