05D0572898 CLIA NUMBER - YUCCA VALLEY URGENT CARE INC

Laboratory Demographics

CLIA Number: 05D0572898

Facility Name: YUCCA VALLEY URGENT CARE INC

Facility Address:
58471 29 PALMS HWY STE 303
YUCCA VALLEY, CA
ZIP 92284
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Facility Phone Number: (760) 365-0851

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1518381367

Taxonomy: 208D00000X - General Practice

CLIA Record

Field Name	Field Value
CLIA Number	05D0572898
LAB Type	OTHER
Facility Name	YUCCA VALLEY URGENT CARE INC
Street	58471 29 PALMS HWY STE 303
City	YUCCA VALLEY
State	CA
ZIP	92284
Phone	(760) 365-0851

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