05D0574648 CLIA NUMBER - HIGH DESERT SKIN CENTER/STEVEN HODGKIN

Laboratory Demographics

CLIA Number: 05D0574648

Facility Name: HIGH DESERT SKIN CENTER/STEVEN HODGKIN

Facility Address:
15366 11TH ST STE K
VICTORVILLE, CA
ZIP 92395
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Facility Phone Number: (760) 245-6465

Facility Type: PHYSICIAN OFFICE

Certificate Type: Certificate of Compliance

NPI Number: 1104204775

Taxonomy: 213ES0103X - Podiatrist

CLIA Record

Field Name Field Value
CLIA Number 05D0574648
LAB Type PHYSICIAN OFFICE
Facility Name HIGH DESERT SKIN CENTER/STEVEN HODGKIN
Street 15366 11TH ST STE K
City VICTORVILLE
State CA
ZIP 92395
Phone (760) 245-6465

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