05D1073756 CLIA NUMBER - ALLIANCE HEALTH CLINIC

Laboratory Demographics

CLIA Number: 05D1073756

Facility Name: ALLIANCE HEALTH CLINIC

Facility Address:
5952 EL CAJON BLVD
SAN DIEGO, CA
ZIP 92115
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Facility Phone Number: 619 229-8030

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1043413321

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	05D1073756
LAB Type	Community Clinic
Facility Name	ALLIANCE HEALTH CLINIC
Street	5952 EL CAJON BLVD
City	SAN DIEGO
State	CA
ZIP	92115
Phone	619 229-8030
CertificateType	4
CertificateEffectiveDate	9/14/2023
CertificateExpirationDate	9/13/2025
FacilityType	Waiver

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