05D2102461 CLIA NUMBER - AEGIS TREATMENT CENTERS, LLC

Laboratory Demographics

  • CLIA Code: 05D2102461
  • Facility Name: AEGIS TREATMENT CENTERS, LLC
  • Facility Address: 1839 S EL DORADO ST
    STOCKTON, CA
    ZIP 95206
  • Facility Phone: 818 206-0360
  • Facility Type: Other - NARCOTIC TREATMENT PRGM
  • Facility Type: Waiver
  • Lab Director: BRIAN N. TALLEUR
  • NPI Number: 1619477239
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2102461
LAB Type Other - NARCOTIC TREATMENT PRGM
Facility Name AEGIS TREATMENT CENTERS, LLC
Street 1839 S EL DORADO ST
City STOCKTON
State CA
ZIP 95206
Phone 818 206-0360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2025
Certificate Expiration Date 9/22/2027
Facility Type Other - NARCOTIC TREATMENT PRGM
Lab Director BRIAN N. TALLEUR

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