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05D1055221 CLIA NUMBER - SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP LABORATORY

Laboratory Demographics

CLIA Number: 05D1055221

Facility Name: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP LABORATORY

Facility Address:
UNIVERSITY CENTRE PROFESSIONAL PARK 75-036 GERALD FORD DR
PALM DESERT, CA
ZIP 92211
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Facility Phone Number: 760 834-2557

Facility Type: Health Main. Organization

Certificate Type: Microscopy
NPI Number: 1659313997

Taxonomy: 207W00000X - Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

CLIA Record

Field Name Field Value
CLIA Number 05D1055221
LAB Type Health Main. Organization
Facility Name SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP LABORATORY
Street UNIVERSITY CENTRE PROFESSIONAL PARK 75-036 GERALD FORD DR
City PALM DESERT
State CA
ZIP 92211
Phone 760 834-2557
CertificateType 3
CertificateEffectiveDate 6/13/2022
CertificateExpirationDate 6/12/2024
FacilityType PPMP

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