05D1098704 CLIA NUMBER - DESERT PAIN SPECIALISTS, INC

Laboratory Demographics

  • CLIA Code: 05D1098704
  • Facility Name: DESERT PAIN SPECIALISTS, INC
  • Facility Address: 72780 COUNTRY CLUB DR STE C300
    RANCHO MIRAGE, CA
    ZIP 92270
  • Facility Phone: 760 341-5550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALBERT LAI
  • NPI Number: 1114244126
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1098704
LAB Type Physician Office
Facility Name DESERT PAIN SPECIALISTS, INC
Street 72780 COUNTRY CLUB DR STE C300
City RANCHO MIRAGE
State CA
ZIP 92270
Phone 760 341-5550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Physician Office
Lab Director ALBERT LAI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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