05D2230091 CLIA NUMBER - EL CENTRO DETENTION FACILITY

Laboratory Demographics

  • CLIA Code: 05D2230091
  • Facility Name: EL CENTRO DETENTION FACILITY
  • Facility Address: 1115 N IMPERIAL AVE
    EL CENTRO, CA
    ZIP 92243
  • Facility Phone: 760 259-2500
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: STEVE DOAN
  • NPI Number: 1962890228
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2230091
LAB Type Prison
Facility Name EL CENTRO DETENTION FACILITY
Street 1115 N IMPERIAL AVE
City EL CENTRO
State CA
ZIP 92243
Phone 760 259-2500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Prison
Lab Director STEVE DOAN

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