05D2091099 CLIA NUMBER - CARE DIMENSIONS OF THE DESERT, LLC

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Laboratory Demographics

CLIA Number: 05D2091099

Facility Name: CARE DIMENSIONS OF THE DESERT, LLC

Facility Address:
74130 COUNTRY CLUB DR STE 104
PALM DESERT, CA
ZIP 92260
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Facility Phone Number: 760 444-0699

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1831535475

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name	Field Value
CLIA Number	05D2091099
LAB Type	Home Health Agency
Facility Name	CARE DIMENSIONS OF THE DESERT, LLC
Street	74130 COUNTRY CLUB DR STE 104
City	PALM DESERT
State	CA
ZIP	92260
Phone	760 444-0699
CertificateType	4
CertificateEffectiveDate	2/5/2023
CertificateExpirationDate	2/4/2025
FacilityType	Waiver

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