05D0983632 CLIA NUMBER - V DOUGLAS JODOIN MD

Laboratory Demographics

  • CLIA Code: 05D0983632
  • Facility Name: V DOUGLAS JODOIN MD
  • Facility Address: 39-000 BOB HOPE DR W-208
    RANCHO MIRAGE, CA
    ZIP 92270
  • Facility Phone: 760 779-1721
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: V D. JODOIN
  • NPI Number: 1225016074
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0983632
LAB Type Physician Office
Facility Name V DOUGLAS JODOIN MD
Street 39-000 BOB HOPE DR W-208
City RANCHO MIRAGE
State CA
ZIP 92270
Phone 760 779-1721
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type Physician Office
Lab Director V D. JODOIN

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