05D0588092 CLIA NUMBER - SOUTHERN INYO HOSPITAL LABORATORY

Laboratory Demographics

CLIA Number: 05D0588092

Facility Name: SOUTHERN INYO HOSPITAL LABORATORY

Facility Address:
501 EAST LOCUST STREET
LONE PINE, CA
ZIP 93545
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Facility Phone Number: (760) 876-2206

Facility Type: HOSPITAL

Certificate Type: Accreditation

NPI Number: 1881922110

Taxonomy: 275N00000X - Medicare Defined Swing Bed Unit
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

CLIA Record

Field Name	Field Value
CLIA Number	05D0588092
LAB Type	HOSPITAL
Facility Name	SOUTHERN INYO HOSPITAL LABORATORY
Street	501 EAST LOCUST STREET
City	LONE PINE
State	CA
ZIP	93545
Phone	(760) 876-2206

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