05D2306979 CLIA NUMBER - AEGIS TREATMENT CENTERS, LLC

Laboratory Demographics

  • CLIA Code: 05D2306979
  • Facility Name: AEGIS TREATMENT CENTERS, LLC
  • Facility Address: 416 E. OCEAN AVE
    LOMPOC, CA
    ZIP 93436
  • Facility Phone: 805 849-2318
  • Facility Type: Other - NARCOTIC TREATMENT PROGRA
  • Facility Type: Waiver
  • Lab Director: KRISTOPHER D. HOWALT
  • NPI Number: 1063273043
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2306979
LAB Type Other - NARCOTIC TREATMENT PROGRA
Facility Name AEGIS TREATMENT CENTERS, LLC
Street 416 E. OCEAN AVE
City LOMPOC
State CA
ZIP 93436
Phone 805 849-2318
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2024
Certificate Expiration Date 6/26/2026
Facility Type Other - NARCOTIC TREATMENT PROGRA
Lab Director KRISTOPHER D. HOWALT

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