14D2057324 CLIA NUMBER - COMPREHENSIVE BEHAVIORAL HEALTH CENTER

Home > CLIA Lookup > 14D2057324

Laboratory Demographics

CLIA Number: 14D2057324

Facility Name: COMPREHENSIVE BEHAVIORAL HEALTH CENTER

Facility Address:
505 SOUTH 8TH ST
E ST LOUIS, IL
ZIP 62201
Get Directions

Facility Phone Number: 618 482-7330

Facility Type: Other - BEHAVIORAL HEALTH

Certificate Type: Waiver

NPI Number: 1437328283

Taxonomy: 261QM2800X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

CLIA Record

Field Name	Field Value
CLIA Number	14D2057324
LAB Type	Other - BEHAVIORAL HEALTH
Facility Name	COMPREHENSIVE BEHAVIORAL HEALTH CENTER
Street	505 SOUTH 8TH ST
City	E ST LOUIS
State	IL
ZIP	62201
Phone	618 482-7330
CertificateType	4
CertificateEffectiveDate	4/15/2023
CertificateExpirationDate	4/14/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024