45D2160775 CLIA NUMBER - RIO VISTA BEHAVIORAL HEALTH

Laboratory Demographics

CLIA Number: 45D2160775

Facility Name: RIO VISTA BEHAVIORAL HEALTH

Facility Address:
1390 NORTHWESTERN DRIVE
EL PASO, TX
ZIP 79912
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Facility Phone Number: 915 493-8564

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1346724879

Taxonomy: 283Q00000X - Psychiatric Hospital
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

CLIA Record

Field Name	Field Value
CLIA Number	45D2160775
LAB Type	Hospital
Facility Name	RIO VISTA BEHAVIORAL HEALTH
Street	1390 NORTHWESTERN DRIVE
City	EL PASO
State	TX
ZIP	79912
Phone	915 493-8564
CertificateType	4
CertificateEffectiveDate	1/17/2023
CertificateExpirationDate	1/16/2025
FacilityType	Waiver

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