05D2018651 CLIA NUMBER - EISENHOWER IMAGING CENTER

Laboratory Demographics

  • CLIA Code: 05D2018651
  • Facility Name: EISENHOWER IMAGING CENTER
  • Facility Address: 151 SOUTH SUNRISE STE 400
    PALM SPRINGS, CA
    ZIP 92262
  • Facility Phone: 760 674-3858
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: BRIAN K. HERMAN
  • NPI Number: 1346723194
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D2018651
LAB Type Independent
Facility Name EISENHOWER IMAGING CENTER
Street 151 SOUTH SUNRISE STE 400
City PALM SPRINGS
State CA
ZIP 92262
Phone 760 674-3858
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2025
Certificate Expiration Date 1/10/2027
Facility Type Independent
Lab Director BRIAN K. HERMAN

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