05D2033793 CLIA NUMBER - BERMUDA DUNES DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2033793
  • Facility Name: BERMUDA DUNES DIALYSIS
  • Facility Address: 78030 WILDCAT DR.
    PALM DESERT, CA
    ZIP 92211
  • Facility Phone: 760 200-9838
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: BRYAN STONE
  • NPI Number: 1417245259
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2033793
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BERMUDA DUNES DIALYSIS
Street 78030 WILDCAT DR.
City PALM DESERT
State CA
ZIP 92211
Phone 760 200-9838
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2023
Certificate Expiration Date 12/8/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director BRYAN STONE

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