05D2144759 CLIA NUMBER - AEGIS TREATMENT CENTERS, LLC

Laboratory Demographics

  • CLIA Code: 05D2144759
  • Facility Name: AEGIS TREATMENT CENTERS, LLC
  • Facility Address: 1889 W REDLANDS BLVD BLDG 9
    REDLANDS, CA
    ZIP 92373
  • Facility Phone: 909 501-5167
  • Facility Type: Other - NARCOTIC TREATMENT PRGM
  • Facility Type: Waiver
  • Lab Director: KIMBERLY E. CONLEY
  • NPI Number: 1992219646
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2144759
LAB Type Other - NARCOTIC TREATMENT PRGM
Facility Name AEGIS TREATMENT CENTERS, LLC
Street 1889 W REDLANDS BLVD BLDG 9
City REDLANDS
State CA
ZIP 92373
Phone 909 501-5167
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Other - NARCOTIC TREATMENT PRGM
Lab Director KIMBERLY E. CONLEY

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