05D2289495 CLIA NUMBER - AEGIS TREATMENT CENTERS, LLC

Laboratory Demographics

  • CLIA Code: 05D2289495
  • Facility Name: AEGIS TREATMENT CENTERS, LLC
  • Facility Address: 1651 LANDER AVENUE
    TURLOCK, CA
    ZIP 95380
  • Facility Phone: 209 353-4838
  • Facility Type: Other - NARCOTIC TREATMENT PROGRA
  • Facility Type: Waiver
  • Lab Director: ROBERT SOUTHMAYD
  • NPI Number: 1821722265
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2289495
LAB Type Other - NARCOTIC TREATMENT PROGRA
Facility Name AEGIS TREATMENT CENTERS, LLC
Street 1651 LANDER AVENUE
City TURLOCK
State CA
ZIP 95380
Phone 209 353-4838
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Other - NARCOTIC TREATMENT PROGRA
Lab Director ROBERT SOUTHMAYD

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