05D0960991 CLIA NUMBER - SANTA ROSA DEL VALLE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D0960991
  • Facility Name: SANTA ROSA DEL VALLE MEDICAL GROUP
  • Facility Address: 1293 SIXTH STREET
    COACHELLA, CA
    ZIP 92236
  • Facility Phone: 760 391-5151
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FRANK A. CURRY MD
  • NPI Number: 1649494733
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0960991
LAB Type Physician Office
Facility Name SANTA ROSA DEL VALLE MEDICAL GROUP
Street 1293 SIXTH STREET
City COACHELLA
State CA
ZIP 92236
Phone 760 391-5151
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Physician Office
Lab Director FRANK A. CURRY MD

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