05D0572881 CLIA NUMBER - DESERT OASIS HEALTHCARE

Laboratory Demographics

CLIA Number: 05D0572881

Facility Name: DESERT OASIS HEALTHCARE

Facility Address:
57463 29 PALMS HWY SUITE 203
YUCCA VALLEY, CA
ZIP 92284
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Facility Phone Number: 760 320-8814

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1023009529

Taxonomy: 207T00000X - Neurological Surgery
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

CLIA Record

Field Name Field Value
CLIA Number 05D0572881
LAB Type Physician Office
Facility Name DESERT OASIS HEALTHCARE
Street 57463 29 PALMS HWY SUITE 203
City YUCCA VALLEY
State CA
ZIP 92284
Phone 760 320-8814
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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