05D0713330 CLIA NUMBER - PALO VERDE HOSPITAL

Laboratory Demographics

  • CLIA Code: 05D0713330
  • Facility Name: PALO VERDE HOSPITAL
  • Facility Address: 250 N FIRST ST
    BLYTHE, CA
    ZIP 92225
  • Facility Phone: 760 921-5270
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: MARK J. BECK
  • NPI Number: 1033260377
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 05D0713330
LAB Type Hospital
Facility Name PALO VERDE HOSPITAL
Street 250 N FIRST ST
City BLYTHE
State CA
ZIP 92225
Phone 760 921-5270
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/12/2021
Certificate Expiration Date 10/31/2025
Facility Type Hospital
Lab Director MARK J. BECK

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