05D2095350 CLIA NUMBER - RIVER'S EDGE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2095350
  • Facility Name: RIVER'S EDGE SURGERY CENTER
  • Facility Address: 71780 SAN JACINTO DR BLDG D
    RANCHO MIRAGE, CA
    ZIP 92270
  • Facility Phone: 760 862-1888
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ALBERT LAI, MD
  • NPI Number: 1811386147
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2095350
LAB Type Ambulatory Surgery Center
Facility Name RIVER'S EDGE SURGERY CENTER
Street 71780 SAN JACINTO DR BLDG D
City RANCHO MIRAGE
State CA
ZIP 92270
Phone 760 862-1888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2025
Certificate Expiration Date 5/5/2027
Facility Type Ambulatory Surgery Center
Lab Director ALBERT LAI, MD

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