05D2305142 CLIA NUMBER - TELECARE RIDGECREST CRISIS STABILIZATION UNIT

Laboratory Demographics

  • CLIA Code: 05D2305142
  • Facility Name: TELECARE RIDGECREST CRISIS STABILIZATION UNIT
  • Facility Address: 1141 CHELSEA ST
    RIDGECREST, CA
    ZIP 93555
  • Facility Phone: 760 463-2880
  • Facility Type: Other - CRISIS STABILIZATION MENT
  • Facility Type: Waiver
  • Lab Director: SERGIO ABDISHOO
  • NPI Number: 1700319407
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2305142
LAB Type Other - CRISIS STABILIZATION MENT
Facility Name TELECARE RIDGECREST CRISIS STABILIZATION UNIT
Street 1141 CHELSEA ST
City RIDGECREST
State CA
ZIP 93555
Phone 760 463-2880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2024
Certificate Expiration Date 5/23/2026
Facility Type Other - CRISIS STABILIZATION MENT
Lab Director SERGIO ABDISHOO

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