05D1024844 CLIA NUMBER - EISENHOWER IMAGING CENTER LUCI CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D1024844
  • Facility Name: EISENHOWER IMAGING CENTER LUCI CARE CENTER
  • Facility Address: 39000 BOB HOPE LOWER LEVEL
    RANCHO MIRAGE, CA
    ZIP 92270
  • Facility Phone: 760 674-3878
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: BRIAN K. HERMAN MD
  • NPI Number: 1407007537
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D1024844
LAB Type Independent
Facility Name EISENHOWER IMAGING CENTER LUCI CARE CENTER
Street 39000 BOB HOPE LOWER LEVEL
City RANCHO MIRAGE
State CA
ZIP 92270
Phone 760 674-3878
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Independent
Lab Director BRIAN K. HERMAN MD

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