05D0572821 CLIA NUMBER - EYE SURGERY CENTER OF THE DESERT

Laboratory Demographics

CLIA Number: 05D0572821

Facility Name: EYE SURGERY CENTER OF THE DESERT

Facility Address:
72301 COUNTRY CLUB DR SUITE 101
RANCHO MIRAGE, CA
ZIP 92270
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Facility Phone Number: (760) 776-8100

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1336254770

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0572821
LAB Type	PHYSICIAN OFFICE
Facility Name	EYE SURGERY CENTER OF THE DESERT
Street	72301 COUNTRY CLUB DR SUITE 101
City	RANCHO MIRAGE
State	CA
ZIP	92270
Phone	(760) 776-8100

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This page was last updated on: 5/11/2023