05D2132014 CLIA NUMBER - DAP HEALTH - SAN JACINTO COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D2132014
  • Facility Name: DAP HEALTH - SAN JACINTO COMMUNITY HEALTH CENTER
  • Facility Address: 651 N STATE ST
    SAN JACINTO, CA
    ZIP 92583
  • Facility Phone: 760 323-2118
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: JOSEPH AQUILINA
  • NPI Number: 1548311897
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 05D2132014
LAB Type Federally Qualified Health Center
Facility Name DAP HEALTH - SAN JACINTO COMMUNITY HEALTH CENTER
Street 651 N STATE ST
City SAN JACINTO
State CA
ZIP 92583
Phone 760 323-2118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Federally Qualified Health Center
Lab Director JOSEPH AQUILINA

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