05D2126317 CLIA NUMBER - DESERT SANDS HOME TRAINING

Laboratory Demographics

  • CLIA Code: 05D2126317
  • Facility Name: DESERT SANDS HOME TRAINING
  • Facility Address: 78030 WILDCAT DR STE 102
    PALM DESERT, CA
    ZIP 92211
  • Facility Phone: 760 772-5608
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SALAM ISHAK
  • NPI Number: 1346699600
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2126317
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DESERT SANDS HOME TRAINING
Street 78030 WILDCAT DR STE 102
City PALM DESERT
State CA
ZIP 92211
Phone 760 772-5608
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SALAM ISHAK

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