05D2159329 CLIA NUMBER - BEHAVIORAL HEALTH & RECOVERY SERVICES

Laboratory Demographics

  • CLIA Code: 05D2159329
  • Facility Name: BEHAVIORAL HEALTH & RECOVERY SERVICES
  • Facility Address: 800 SCENIC DRIVE
    MODESTO, CA
    ZIP 95350
  • Facility Phone: 209 525-6119
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: BERNARDO MORA
  • NPI Number: 1689744492
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2159329
LAB Type Community Clinic
Facility Name BEHAVIORAL HEALTH & RECOVERY SERVICES
Street 800 SCENIC DRIVE
City MODESTO
State CA
ZIP 95350
Phone 209 525-6119
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Community Clinic
Lab Director BERNARDO MORA

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