05D1044718 CLIA NUMBER - DAP HEALTH - CENTRO MEDICO THERMAL 88775 AVENUE 76

Laboratory Demographics

  • CLIA Code: 05D1044718
  • Facility Name: DAP HEALTH - CENTRO MEDICO THERMAL 88775 AVENUE 76
  • Facility Address: 88775 AVENUE 76
    THERMAL, CA
    ZIP 92274
  • Facility Phone: 760 397-2501
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: JOSEPH AQUILINA
  • NPI Number: 1255490819
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1044718
LAB Type Federally Qualified Health Center
Facility Name DAP HEALTH - CENTRO MEDICO THERMAL 88775 AVENUE 76
Street 88775 AVENUE 76
City THERMAL
State CA
ZIP 92274
Phone 760 397-2501
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2025
Certificate Expiration Date 3/6/2027
Facility Type Federally Qualified Health Center
Lab Director JOSEPH AQUILINA

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