05D2110209 CLIA NUMBER - VALLEY STAR CRISIS WALK-IN CENTER MORONGO BASIN

Laboratory Demographics

  • CLIA Code: 05D2110209
  • Facility Name: VALLEY STAR CRISIS WALK-IN CENTER MORONGO BASIN
  • Facility Address: 7293 DUMOSA AVE STE 2
    YUCCA VALLEY, CA
    ZIP 92284
  • Facility Phone: 760 245-8837
  • Facility Type: Other - CRISIS WALK IN CENTER
  • Facility Type: Waiver
  • Lab Director: WEIMING D. CHU
  • NPI Number: 1275947426
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2110209
LAB Type Other - CRISIS WALK IN CENTER
Facility Name VALLEY STAR CRISIS WALK-IN CENTER MORONGO BASIN
Street 7293 DUMOSA AVE STE 2
City YUCCA VALLEY
State CA
ZIP 92284
Phone 760 245-8837
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2024
Certificate Expiration Date 3/9/2026
Facility Type Other - CRISIS WALK IN CENTER
Lab Director WEIMING D. CHU

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