05D0572826 CLIA NUMBER - AG RANCHO MIRAGE RANCHO MIRAGE HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0572826
  • Facility Name: AG RANCHO MIRAGE RANCHO MIRAGE HEALTHCARE CENTER
  • Facility Address: 39950 VISTA DEL SOL
    RANCHO MIRAGE, CA
    ZIP 92270
  • Facility Phone: 760 340-0053
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RICHARD G. BYRD MD
  • NPI Number: 1164416657
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0572826
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AG RANCHO MIRAGE RANCHO MIRAGE HEALTHCARE CENTER
Street 39950 VISTA DEL SOL
City RANCHO MIRAGE
State CA
ZIP 92270
Phone 760 340-0053
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2023
Certificate Expiration Date 6/29/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director RICHARD G. BYRD MD

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This page was last updated on: 6/4/2025