05D2277362 CLIA NUMBER - AEGIS TREATMENT CENTERS, LLC

Laboratory Demographics

  • CLIA Code: 05D2277362
  • Facility Name: AEGIS TREATMENT CENTERS, LLC
  • Facility Address: 1551 BISHOP STREET, SUITE 520
    SAN LUIS OBISPO, CA
    ZIP 93401
  • Facility Phone: 805 461-5212
  • Facility Type: Other - NARCOTIC TREATMENT PROGRA
  • Facility Type: Waiver
  • Lab Director: BRIAN N. TALLEUR
  • NPI Number: 1003566134
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2277362
LAB Type Other - NARCOTIC TREATMENT PROGRA
Facility Name AEGIS TREATMENT CENTERS, LLC
Street 1551 BISHOP STREET, SUITE 520
City SAN LUIS OBISPO
State CA
ZIP 93401
Phone 805 461-5212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2025
Certificate Expiration Date 2/23/2027
Facility Type Other - NARCOTIC TREATMENT PROGRA
Lab Director BRIAN N. TALLEUR

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