05D2128931 CLIA NUMBER - ALBERT ANDERSON MEDICAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D2128931
  • Facility Name: ALBERT ANDERSON MEDICAL CORPORATION
  • Facility Address: 552 S PASEO DOROTEA 2 ATTN BACK OFFICE
    PALM SPRINGS, CA
    ZIP 92264
  • Facility Phone: 760 320-6988
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALBERT R. ANDERSON III
  • NPI Number: 1326113259
  • Taxonomy: 207Q00000X - Family Medicine

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2025
Certificate Expiration Date 4/9/2027
Facility Type Physician Office
Lab Director ALBERT R. ANDERSON III

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