05D0710160 CLIA NUMBER - CHEMEHUEVI INDIAN HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 05D0710160
  • Facility Name: CHEMEHUEVI INDIAN HEALTH CLINIC
  • Facility Address: 1900 PALO VERDE, PO BOX 1858
    CHEMEHUEVI VALLEY, CA
    ZIP 92363
  • Facility Phone: 928 669-3224
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DANIEL W. MILLER
  • NPI Number: 1396022026
  • Taxonomy: 261QP0904X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0710160
LAB Type Federally Qualified Health Center
Facility Name CHEMEHUEVI INDIAN HEALTH CLINIC
Street 1900 PALO VERDE, PO BOX 1858
City CHEMEHUEVI VALLEY
State CA
ZIP 92363
Phone 928 669-3224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2024
Certificate Expiration Date 4/22/2026
Facility Type Federally Qualified Health Center
Lab Director DANIEL W. MILLER

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This page was last updated on: 9/29/2025