05D1089415 CLIA NUMBER - AMERICAN MEDICAL RESPONSE

Laboratory Demographics

  • CLIA Code: 05D1089415
  • Facility Name: AMERICAN MEDICAL RESPONSE
  • Facility Address: 1111 MONTALVO WAY
    PALM SPRINGS, CA
    ZIP 92262
  • Facility Phone: 760 883-5010
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: WILLIAM S. DUKES
  • NPI Number: 1780954354
  • Taxonomy: 246RP1900X - Technician, Pathology

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CLIA Record

Field Name Field Value
CLIA Number 05D1089415
LAB Type Ambulance
Facility Name AMERICAN MEDICAL RESPONSE
Street 1111 MONTALVO WAY
City PALM SPRINGS
State CA
ZIP 92262
Phone 760 883-5010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Ambulance
Lab Director WILLIAM S. DUKES

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