05D2020793 CLIA NUMBER - JEROME C HALL, MD INC

Laboratory Demographics

  • CLIA Code: 05D2020793
  • Facility Name: JEROME C HALL, MD INC
  • Facility Address: 1550 PEPPER DR STE F
    EL CENTRO, CA
    ZIP 92243
  • Facility Phone: 858 467-0610
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEROME C. HALL, MD
  • NPI Number: 1962425777
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 05D2020793
LAB Type Physician Office
Facility Name JEROME C HALL, MD INC
Street 1550 PEPPER DR STE F
City EL CENTRO
State CA
ZIP 92243
Phone 858 467-0610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type Physician Office
Lab Director JEROME C. HALL, MD

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