05D2004861 CLIA NUMBER - EISENHOWER IMAGING CENTER

Laboratory Demographics

  • CLIA Code: 05D2004861
  • Facility Name: EISENHOWER IMAGING CENTER
  • Facility Address: 45280 SEELEY DRIVE GEORGE & JULIA ARGYROS HLTH CTR SUITE 100 A
    LA QUINTA, CA
    ZIP 92253
  • Facility Phone: 760 674-3880
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: BRIAN HERMAN
  • NPI Number: 1518991470
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2004861
LAB Type Independent
Facility Name EISENHOWER IMAGING CENTER
Street 45280 SEELEY DRIVE GEORGE & JULIA ARGYROS HLTH CTR SUITE 100 A
City LA QUINTA
State CA
ZIP 92253
Phone 760 674-3880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Independent
Lab Director BRIAN HERMAN

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