05D0893080 CLIA NUMBER - HAROLD L TARLETON MD INC

Laboratory Demographics

  • CLIA Code: 05D0893080
  • Facility Name: HAROLD L TARLETON MD INC
  • Facility Address: 39000 BOB HOPE DR KIEWITT 406
    RANCHO MIRAGE, CA
    ZIP 92270
  • Facility Phone: 760 836-0708
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: HAROLD L. TARLETON MD
  • NPI Number: 1518985985
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0893080
LAB Type Physician Office
Facility Name HAROLD L TARLETON MD INC
Street 39000 BOB HOPE DR KIEWITT 406
City RANCHO MIRAGE
State CA
ZIP 92270
Phone 760 836-0708
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/13/2024
Certificate Expiration Date 10/12/2026
Facility Type Physician Office
Lab Director HAROLD L. TARLETON MD

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