05D0573695 CLIA NUMBER - DESERT VALLEY MEDICAL GROUP INC

Laboratory Demographics

CLIA Number: 05D0573695

Facility Name: DESERT VALLEY MEDICAL GROUP INC

Facility Address:
17450 MAIN STREET, SUITE I
HESPERIA, CA
ZIP 92345
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Facility Phone Number: (760) 241-8000

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1588246425

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D0573695
LAB Type	PHYSICIAN OFFICE
Facility Name	DESERT VALLEY MEDICAL GROUP INC
Street	17450 MAIN STREET, SUITE I
City	HESPERIA
State	CA
ZIP	92345
Phone	(760) 241-8000

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This page was last updated on: 5/11/2023