05D0880770 CLIA NUMBER - MONTEREY PALMS HEALTH CARE

Laboratory Demographics

  • CLIA Code: 05D0880770
  • Facility Name: MONTEREY PALMS HEALTH CARE
  • Facility Address: 44-610 MONTEREY AVENUE
    PALM DESERT, CA
    ZIP 92260
  • Facility Phone: 619 773-5151
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TIM CASEY
  • NPI Number: 1215344312
  • Taxonomy: 261QA1903X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TIM CASEY

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