05D2128931 CLIA NUMBER - ALBERT ANDERSON MEDICAL CORPORATION

Laboratory Demographics

CLIA Number: 05D2128931

Facility Name: ALBERT ANDERSON MEDICAL CORPORATION

Facility Address:
552 S PASEO DOROTEA 2 ATTN BACK OFFICE
PALM SPRINGS, CA
ZIP 92264
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Facility Phone Number: 760 320-6988

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1326113259

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	05D2128931
LAB Type	Physician Office
Facility Name	ALBERT ANDERSON MEDICAL CORPORATION
Street	552 S PASEO DOROTEA 2 ATTN BACK OFFICE
City	PALM SPRINGS
State	CA
ZIP	92264
Phone	760 320-6988
CertificateType	4
CertificateEffectiveDate	4/10/2023
CertificateExpirationDate	4/9/2025
FacilityType	Waiver

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