05D0915222 CLIA NUMBER - MORONGO MEDICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 05D0915222
  • Facility Name: MORONGO MEDICAL GROUP INC
  • Facility Address: 57725 29 PALMS HWY #401
    YUCCA VALLEY, CA
    ZIP 92284
  • Facility Phone: 760 228-1929
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PREM P. SALHOTRA
  • NPI Number: 1972644516
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0915222
LAB Type Physician Office
Facility Name MORONGO MEDICAL GROUP INC
Street 57725 29 PALMS HWY #401
City YUCCA VALLEY
State CA
ZIP 92284
Phone 760 228-1929
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 5/20/2026
Facility Type Physician Office
Lab Director PREM P. SALHOTRA

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