05D0880770 CLIA NUMBER - MONTEREY PALMS HEALTH CARE

Laboratory Demographics

CLIA Number: 05D0880770

Facility Name: MONTEREY PALMS HEALTH CARE

Facility Address:
44-610 MONTEREY AVENUE
PALM DESERT, CA
ZIP 92260
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Facility Phone Number: 619 773-5151

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1215344312

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0880770
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	MONTEREY PALMS HEALTH CARE
Street	44-610 MONTEREY AVENUE
City	PALM DESERT
State	CA
ZIP	92260
Phone	619 773-5151
CertificateType	4
CertificateEffectiveDate	12/23/2023
CertificateExpirationDate	12/22/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024