05D2279675 CLIA NUMBER - ADULT EL CENTRO SUD TREATMENT PGRMS IMPERIAL COUNTY BEHAVIORAL HEALTH SRVS

Laboratory Demographics

  • CLIA Code: 05D2279675
  • Facility Name: ADULT EL CENTRO SUD TREATMENT PGRMS IMPERIAL COUNTY BEHAVIORAL HEALTH SRVS
  • Facility Address: 2695 S 4TH ST
    EL CENTRO, CA
    ZIP 92243
  • Facility Phone: 442 265-7904
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: BUSHRA AHMAD
  • NPI Number: 1023474905
  • Taxonomy: 261QM0801X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2279675
LAB Type Community Clinic
Facility Name ADULT EL CENTRO SUD TREATMENT PGRMS IMPERIAL COUNTY BEHAVIORAL HEALTH SRVS
Street 2695 S 4TH ST
City EL CENTRO
State CA
ZIP 92243
Phone 442 265-7904
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Community Clinic
Lab Director BUSHRA AHMAD

Download Record

Download this CLIA record record in Text format: Export

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

Download this CLIA record record in XML format: Export

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