05D1092273 CLIA NUMBER - EDWARD A RUIZ, MD

Laboratory Demographics

  • CLIA Code: 05D1092273
  • Facility Name: EDWARD A RUIZ, MD
  • Facility Address: 47110 WASHINGTON ST STE 203
    LA QUINTA, CA
    ZIP 92253
  • Facility Phone: 760 564-9205
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: EDWARD A. RUIZ MD
  • NPI Number: 1598961708
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1092273
LAB Type Physician Office
Facility Name EDWARD A RUIZ, MD
Street 47110 WASHINGTON ST STE 203
City LA QUINTA
State CA
ZIP 92253
Phone 760 564-9205
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Physician Office
Lab Director EDWARD A. RUIZ MD

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