05D2279196 CLIA NUMBER - AEGIS TREATMENT CENTERS, LLC

Laboratory Demographics

  • CLIA Code: 05D2279196
  • Facility Name: AEGIS TREATMENT CENTERS, LLC
  • Facility Address: 300 E ALMOND AVE SUITE 100
    MADERA, CA
    ZIP 93637
  • Facility Phone: 818 206-0360
  • Facility Type: Other - NARCOTIC TRMT PRGM
  • Facility Type: Waiver
  • Lab Director: MARC D. LASHER
  • NPI Number: 1679635361
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2279196
LAB Type Other - NARCOTIC TRMT PRGM
Facility Name AEGIS TREATMENT CENTERS, LLC
Street 300 E ALMOND AVE SUITE 100
City MADERA
State CA
ZIP 93637
Phone 818 206-0360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Other - NARCOTIC TRMT PRGM
Lab Director MARC D. LASHER

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