05D2067388 CLIA NUMBER - SUNLIFE MEDICAL GROUP

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Laboratory Demographics

CLIA Number: 05D2067388

Facility Name: SUNLIFE MEDICAL GROUP

Facility Address:
73-211 FRED WARING DR STE 100
PALM DESERT, CA
ZIP 92260
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Facility Phone Number: 760 568-4939

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1215149745

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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
CertificateType	4
CertificateEffectiveDate	10/15/2023
CertificateExpirationDate	10/14/2025
FacilityType	Waiver

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