05D2179958 CLIA NUMBER - ROGERS BEHAVIORAL HEALTH - SAN DIEGO

Laboratory Demographics

  • CLIA Code: 05D2179958
  • Facility Name: ROGERS BEHAVIORAL HEALTH - SAN DIEGO
  • Facility Address: 17140 BERNARDO CENTER DRIVE SUITE 300
    SAN DIEGO, CA
    ZIP 92128
  • Facility Phone: 858 716-8100
  • Facility Type: Other - PARTIAL BEHAVIORAL
  • Facility Type: Waiver
  • Lab Director: STEPHANIE C. EKEN
  • NPI Number: 1972065241
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2179958
LAB Type Other - PARTIAL BEHAVIORAL
Facility Name ROGERS BEHAVIORAL HEALTH - SAN DIEGO
Street 17140 BERNARDO CENTER DRIVE SUITE 300
City SAN DIEGO
State CA
ZIP 92128
Phone 858 716-8100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Other - PARTIAL BEHAVIORAL
Lab Director STEPHANIE C. EKEN

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