05D2067388 CLIA NUMBER - SUNLIFE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D2067388
  • Facility Name: SUNLIFE MEDICAL GROUP
  • Facility Address: 73-211 FRED WARING DR STE 100
    PALM DESERT, CA
    ZIP 92260
  • Facility Phone: 760 568-4939
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREGORY A. CRAUSO
  • NPI Number: 1215149745
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2067388
LAB Type Physician Office
Facility Name SUNLIFE MEDICAL GROUP
Street 73-211 FRED WARING DR STE 100
City PALM DESERT
State CA
ZIP 92260
Phone 760 568-4939
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2025
Certificate Expiration Date 10/14/2027
Facility Type Physician Office
Lab Director GREGORY A. CRAUSO

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