05D1014676 CLIA NUMBER - MARIA REMEDIOS R GOPEZ MD

Laboratory Demographics

  • CLIA Code: 05D1014676
  • Facility Name: MARIA REMEDIOS R GOPEZ MD
  • Facility Address: 81767 DR CARREON BLVD SUITE 100
    INDIO, CA
    ZIP 92201
  • Facility Phone: 760 347-1615
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIA REMEDIOS R. GOPEZ
  • NPI Number: 1356303903
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1014676
LAB Type Physician Office
Facility Name MARIA REMEDIOS R GOPEZ MD
Street 81767 DR CARREON BLVD SUITE 100
City INDIO
State CA
ZIP 92201
Phone 760 347-1615
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Physician Office
Lab Director MARIA REMEDIOS R. GOPEZ

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