05D1029261 CLIA NUMBER - MORONGO BASIN OB/GYN GROUP INC

Laboratory Demographics

  • CLIA Code: 05D1029261
  • Facility Name: MORONGO BASIN OB/GYN GROUP INC
  • Facility Address: 57445 TWENTYNINE PALMS HWY STE 301
    YUCCA VALLEY, CA
    ZIP 92284
  • Facility Phone: 760 365-2800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KASKO M. KASKO DO
  • NPI Number: 1992705370
  • Taxonomy: 207VC0200X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D1029261
LAB Type Physician Office
Facility Name MORONGO BASIN OB/GYN GROUP INC
Street 57445 TWENTYNINE PALMS HWY STE 301
City YUCCA VALLEY
State CA
ZIP 92284
Phone 760 365-2800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Physician Office
Lab Director KASKO M. KASKO DO

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