05D2076644 CLIA NUMBER - BRIGHTQUEST TREATMENT CENTER

Laboratory Demographics

CLIA Code: 05D2076644
Facility Name: BRIGHTQUEST TREATMENT CENTER
Facility Address: 5520 WELLESLEY STREET, STE 100
LA MESA, CA
ZIP 91942
Facility Phone: 619 466-0547
Facility Type: Other - BEHAVIORAL HEALTH FACILIT
Facility Type: Waiver
Lab Director: SEAN RYAN
NPI Number: 1114333960
Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	05D2076644
LAB Type	Other - BEHAVIORAL HEALTH FACILIT
Facility Name	BRIGHTQUEST TREATMENT CENTER
Street	5520 WELLESLEY STREET, STE 100
City	LA MESA
State	CA
ZIP	91942
Phone	619 466-0547
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	4/23/2024
Certificate Expiration Date	4/22/2026
Facility Type	Other - BEHAVIORAL HEALTH FACILIT
Lab Director	SEAN RYAN

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