05D1046722 CLIA NUMBER - WCHS, INC DBA DESERT TREATMENT CLINIC

Laboratory Demographics

CLIA Number: 05D1046722

Facility Name: WCHS, INC DBA DESERT TREATMENT CLINIC

Facility Address:
1330 N INDIAN CANYON DR, STE A, B, C
PALM SPRINGS, CA
ZIP 92262
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Facility Phone Number: 760 322-9065

Facility Type: Comp. Outpatient Rehab Facility

Certificate Type: Waiver

NPI Number: 1215947775

Taxonomy: 261QM2800X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

CLIA Record

Field Name	Field Value
CLIA Number	05D1046722
LAB Type	Comp. Outpatient Rehab Facility
Facility Name	WCHS, INC DBA DESERT TREATMENT CLINIC
Street	1330 N INDIAN CANYON DR, STE A, B, C
City	PALM SPRINGS
State	CA
ZIP	92262
Phone	760 322-9065
CertificateType	4
CertificateEffectiveDate	10/17/2023
CertificateExpirationDate	10/16/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024