05D0862321 CLIA NUMBER - IDYLLWILD HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D0862321
  • Facility Name: IDYLLWILD HEALTH CENTER
  • Facility Address: 54165 PINECREST AVE
    IDYLLWILD, CA
    ZIP 92549
  • Facility Phone: 951 659-4908
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAMRAN A. QURESHI
  • NPI Number: 1407964489
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0862321
LAB Type Physician Office
Facility Name IDYLLWILD HEALTH CENTER
Street 54165 PINECREST AVE
City IDYLLWILD
State CA
ZIP 92549
Phone 951 659-4908
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type Physician Office
Lab Director KAMRAN A. QURESHI

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