05D0885230 CLIA NUMBER - HIGH DESERT MEDICAL GROUP URGENT CARE DEPARTMENT

Laboratory Demographics

CLIA Number: 05D0885230

Facility Name: HIGH DESERT MEDICAL GROUP URGENT CARE DEPARTMENT

Facility Address:
43839 15TH ST W
LANCASTER, CA
ZIP 93534
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Facility Phone Number: 954 621-7733

Facility Type: Other - URGENT CARE STAT LAB

Certificate Type: Certificate of Compliance

NPI Number: 1144589359

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name	Field Value
CLIA Number	05D0885230
LAB Type	Other - URGENT CARE STAT LAB
Facility Name	HIGH DESERT MEDICAL GROUP URGENT CARE DEPARTMENT
Street	43839 15TH ST W
City	LANCASTER
State	CA
ZIP	93534
Phone	954 621-7733
CertificateType	2
CertificateEffectiveDate	2/28/2021
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

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