05D1105414 CLIA NUMBER - DIMPLE AGARWAL, MD

Laboratory Demographics

  • CLIA Code: 05D1105414
  • Facility Name: DIMPLE AGARWAL, MD
  • Facility Address: 1180 N INDIAN CANYON DRIVE, SUITE E317
    PALM SPRINGS, CA
    ZIP 92262
  • Facility Phone: 760 778-7147
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DIMPLE AGARWAL, MD
  • NPI Number: 1275632887
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1105414
LAB Type Physician Office
Facility Name DIMPLE AGARWAL, MD
Street 1180 N INDIAN CANYON DRIVE, SUITE E317
City PALM SPRINGS
State CA
ZIP 92262
Phone 760 778-7147
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2025
Certificate Expiration Date 9/22/2027
Facility Type Physician Office
Lab Director DIMPLE AGARWAL, MD

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