05D2055803 CLIA NUMBER - DESERT VIP URGENT CARE

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Laboratory Demographics

CLIA Number: 05D2055803

Facility Name: DESERT VIP URGENT CARE

Facility Address:
100 S. SUNRISE WAY, STE. A
PALM SPRINGS, CA
ZIP 92262
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Facility Phone Number: 760 969-5999

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1467584425

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2055803
LAB Type	Practitioner Other
Facility Name	DESERT VIP URGENT CARE
Street	100 S. SUNRISE WAY, STE. A
City	PALM SPRINGS
State	CA
ZIP	92262
Phone	760 969-5999
CertificateType	4
CertificateEffectiveDate	3/18/2023
CertificateExpirationDate	3/17/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024