05D0930533 CLIA NUMBER - CSI MEDICAL GROUP

Laboratory Demographics

CLIA Number: 05D0930533

Facility Name: CSI MEDICAL GROUP

Facility Address:
36867 COOK ST STE 101
PALM DESERT, CA
ZIP 92211
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Facility Phone Number: 760 341-1999

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1346262375

Taxonomy: 261QM2500X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

CLIA Record

Field Name	Field Value
CLIA Number	05D0930533
LAB Type	Physician Office
Facility Name	CSI MEDICAL GROUP
Street	36867 COOK ST STE 101
City	PALM DESERT
State	CA
ZIP	92211
Phone	760 341-1999
CertificateType	2
CertificateEffectiveDate	10/23/2022
CertificateExpirationDate	10/22/2024
FacilityType	Compliance

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