05D2114540 CLIA NUMBER - ALL VALLEY URGENT CARE, TYSON MEDICAL INC

Laboratory Demographics

  • CLIA Code: 05D2114540
  • Facility Name: ALL VALLEY URGENT CARE, TYSON MEDICAL INC
  • Facility Address: 2026 N IMPERIAL AVE, STE C
    EL CENTRO, CA
    ZIP 92243
  • Facility Phone: 760 592-4351
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRIAN TYSON
  • NPI Number: 1376053843
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2114540
LAB Type Physician Office
Facility Name ALL VALLEY URGENT CARE, TYSON MEDICAL INC
Street 2026 N IMPERIAL AVE, STE C
City EL CENTRO
State CA
ZIP 92243
Phone 760 592-4351
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2025
Certificate Expiration Date 8/4/2027
Facility Type Physician Office
Lab Director DR. BRIAN TYSON

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