05D2128933 CLIA NUMBER - STONEWALL MEDICAL CENTER

Laboratory Demographics

CLIA Number: 05D2128933

Facility Name: STONEWALL MEDICAL CENTER

Facility Address:
68555 RAMON RD STE 103
CATHEDRAL CITY, CA
ZIP 92234
Get Directions

Facility Phone Number: 760 507-3310

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1386180404

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2128933
LAB Type	Federally Qualified Health Center
Facility Name	STONEWALL MEDICAL CENTER
Street	68555 RAMON RD STE 103
City	CATHEDRAL CITY
State	CA
ZIP	92234
Phone	760 507-3310
CertificateType	4
CertificateEffectiveDate	4/10/2023
CertificateExpirationDate	4/9/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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