05D0995992 CLIA NUMBER - VIVIEN PACOLD, MD

Laboratory Demographics

  • CLIA Code: 05D0995992
  • Facility Name: VIVIEN PACOLD, MD
  • Facility Address: 68-100 RAMON RD STE C5
    CATHEDRAL CITY, CA
    ZIP 92234
  • Facility Phone: 760 321-6068
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIVIEN L. PACOLD
  • NPI Number: 1003841917
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0995992
LAB Type Physician Office
Facility Name VIVIEN PACOLD, MD
Street 68-100 RAMON RD STE C5
City CATHEDRAL CITY
State CA
ZIP 92234
Phone 760 321-6068
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2024
Certificate Expiration Date 2/5/2026
Facility Type Physician Office
Lab Director VIVIEN L. PACOLD

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