05D1089177 CLIA NUMBER - RANCHO MIRAGE SURGERY CENTER, LLC DBA RANCHO MIRAGE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D1089177
  • Facility Name: RANCHO MIRAGE SURGERY CENTER, LLC DBA RANCHO MIRAGE SURGERY CENTER
  • Facility Address: 35800 BOB HOPE DR STE 100
    RANCHO MIRAGE, CA
    ZIP 92270
  • Facility Phone: 760 699-6500
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ERIC FREEDMAN MD
  • NPI Number: 1154593481
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1089177
LAB Type Ambulatory Surgery Center
Facility Name RANCHO MIRAGE SURGERY CENTER, LLC DBA RANCHO MIRAGE SURGERY CENTER
Street 35800 BOB HOPE DR STE 100
City RANCHO MIRAGE
State CA
ZIP 92270
Phone 760 699-6500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Ambulatory Surgery Center
Lab Director ERIC FREEDMAN MD

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