05D0572821 CLIA NUMBER - EYE SURGERY CENTER OF THE DESERT

Laboratory Demographics

CLIA Number: 05D0572821

Facility Name: EYE SURGERY CENTER OF THE DESERT

Facility Address:
72-301 COUNTRY CLUB DR SUITE
RANCHO MIRAGE, CA
ZIP 92270
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Facility Phone Number: (760) 776-8100

Facility Type: AMBULATORY SURGERY CENTER

Certificate Type: Waiver

NPI Number: 1336254770

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 05D0572821
LAB Type AMBULATORY SURGERY CENTER
Facility Name EYE SURGERY CENTER OF THE DESERT
Street 72-301 COUNTRY CLUB DR SUITE
City RANCHO MIRAGE
State CA
ZIP 92270
Phone (760) 776-8100

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This page was last updated on: 1/7/2022