Healther Providers Data Logo

05D2242354 CLIA NUMBER - COLLEGE COMMUNITY SERVICES

Laboratory Demographics

CLIA Number: 05D2242354

Facility Name: COLLEGE COMMUNITY SERVICES

Facility Address:
16940 HWY 14 SUITE F
MOJAVE, CA
ZIP 93501
Get Directions

Facility Phone Number: 661 824-5020

Facility Type: Other - SUD OUTPATIENT CLINIC

Certificate Type: Waiver
NPI Number: 1013122514

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name Field Value
CLIA Number 05D2242354
LAB Type Other - SUD OUTPATIENT CLINIC
Facility Name COLLEGE COMMUNITY SERVICES
Street 16940 HWY 14 SUITE F
City MOJAVE
State CA
ZIP 93501
Phone 661 824-5020
CertificateType 4
CertificateEffectiveDate 11/8/2023
CertificateExpirationDate 11/7/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024