05D0949083 CLIA NUMBER - STEVEN P GORMAN MD INC

Laboratory Demographics

  • CLIA Code: 05D0949083
  • Facility Name: STEVEN P GORMAN MD INC
  • Facility Address: 44700 VILLAGE COURT, STE 100
    PALM DESERT, CA
    ZIP 92260
  • Facility Phone: 760 564-1886
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN P. GORMAN
  • NPI Number: 1104926500
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0949083
LAB Type Physician Office
Facility Name STEVEN P GORMAN MD INC
Street 44700 VILLAGE COURT, STE 100
City PALM DESERT
State CA
ZIP 92260
Phone 760 564-1886
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2024
Certificate Expiration Date 7/23/2026
Facility Type Physician Office
Lab Director STEVEN P. GORMAN

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