05D2055170 CLIA NUMBER - BAART BEHAVORIAL HEALTH SERVICES INC DBA BAART PROGRAMS CARMICHAEL

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Laboratory Demographics

CLIA Number: 05D2055170

Facility Name: BAART BEHAVORIAL HEALTH SERVICES INC DBA BAART PROGRAMS CARMICHAEL

Facility Address:
6127 FAIR OAKS BLVD
CARMICHAEL, CA
ZIP 95608
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Facility Phone Number: 916 974-8090

Facility Type: Other - NARCOTIC TREATMENT

Certificate Type: Waiver

NPI Number: 1184068736

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2055170
LAB Type	Other - NARCOTIC TREATMENT
Facility Name	BAART BEHAVORIAL HEALTH SERVICES INC DBA BAART PROGRAMS CARMICHAEL
Street	6127 FAIR OAKS BLVD
City	CARMICHAEL
State	CA
ZIP	95608
Phone	916 974-8090
CertificateType	4
CertificateEffectiveDate	3/6/2023
CertificateExpirationDate	3/5/2025
FacilityType	Waiver

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