05D2067383 CLIA NUMBER - CALIPATRIA STATE PRISON

Laboratory Demographics

  • CLIA Code: 05D2067383
  • Facility Name: CALIPATRIA STATE PRISON
  • Facility Address: 7018 BLAIR RD
    CALIPATRIA, CA
    ZIP 92233
  • Facility Phone: 760 348-7000
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: SHERIF ABDOU
  • NPI Number: 1437496858
  • Taxonomy: 311Z00000X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2067383
LAB Type Prison
Facility Name CALIPATRIA STATE PRISON
Street 7018 BLAIR RD
City CALIPATRIA
State CA
ZIP 92233
Phone 760 348-7000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2025
Certificate Expiration Date 10/14/2027
Facility Type Prison
Lab Director SHERIF ABDOU

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