05D1025828 CLIA NUMBER - ROGELIO DRENNING-MANRIQUEZ MD

Laboratory Demographics

  • CLIA Code: 05D1025828
  • Facility Name: ROGELIO DRENNING-MANRIQUEZ MD
  • Facility Address: 49-617 CESAR CHAVEZ ST, STE B
    COACHELLA, CA
    ZIP 92236
  • Facility Phone: 760 398-3705
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ROGELIO DRENNING-MANRIQUEZ
  • NPI Number: 1568689149
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 05D1025828
LAB Type Physician Office
Facility Name ROGELIO DRENNING-MANRIQUEZ MD
Street 49-617 CESAR CHAVEZ ST, STE B
City COACHELLA
State CA
ZIP 92236
Phone 760 398-3705
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2025
Certificate Expiration Date 3/3/2027
Facility Type Physician Office
Lab Director DR. ROGELIO DRENNING-MANRIQUEZ

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