05D0572898 CLIA NUMBER - YUCCA VALLEY URGENT CARE INC DBA AVALON URGENT CARE

Laboratory Demographics

  • CLIA Code: 05D0572898
  • Facility Name: YUCCA VALLEY URGENT CARE INC DBA AVALON URGENT CARE
  • Facility Address: 58471 29 PALMS HWY STE 303
    YUCCA VALLEY, CA
    ZIP 92284
  • Facility Phone: 760 365-0851
  • Facility Type: Other - WALKIN URGENT CARE
  • Facility Type: Waiver
  • Lab Director: ROBERT S. EVANS
  • NPI Number: 1518381367
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0572898
LAB Type Other - WALKIN URGENT CARE
Facility Name YUCCA VALLEY URGENT CARE INC DBA AVALON URGENT CARE
Street 58471 29 PALMS HWY STE 303
City YUCCA VALLEY
State CA
ZIP 92284
Phone 760 365-0851
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Other - WALKIN URGENT CARE
Lab Director ROBERT S. EVANS

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