05D2308540 CLIA NUMBER - BRIGHT MIND COMMUNITY SERVICES INC

Laboratory Demographics

  • CLIA Code: 05D2308540
  • Facility Name: BRIGHT MIND COMMUNITY SERVICES INC
  • Facility Address: 1318 SAN GABRIEL BLVD
    ROSEMEAD, CA
    ZIP 91770
  • Facility Phone: 626 427-1432
  • Facility Type: Other - CMHC
  • Facility Type: Waiver
  • Lab Director: EVELYN ORTEGA
  • NPI Number: 1164113874
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2308540
LAB Type Other - CMHC
Facility Name BRIGHT MIND COMMUNITY SERVICES INC
Street 1318 SAN GABRIEL BLVD
City ROSEMEAD
State CA
ZIP 91770
Phone 626 427-1432
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2024
Certificate Expiration Date 7/29/2026
Facility Type Other - CMHC
Lab Director EVELYN ORTEGA

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