05D2242354 CLIA NUMBER - COLLEGE COMMUNITY SERVICES

Laboratory Demographics

  • CLIA Code: 05D2242354
  • Facility Name: COLLEGE COMMUNITY SERVICES
  • Facility Address: 16940 HWY 14 SUITE F
    MOJAVE, CA
    ZIP 93501
  • Facility Phone: 661 824-5020
  • Facility Type: Other - SUD OUTPATIENT CLINIC
  • Facility Type: Waiver
  • Lab Director: CRAIG WRONSKI
  • NPI Number: 1013122514
  • Taxonomy: 251S00000X - Community/Behavioral Health

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type Other - SUD OUTPATIENT CLINIC
Lab Director CRAIG WRONSKI

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