05D2128933 CLIA NUMBER - DAP HEALTH-STONEWALLCOMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D2128933
  • Facility Name: DAP HEALTH-STONEWALLCOMMUNITY HEALTH CENTER
  • Facility Address: 68555 RAMON RD
    CATHEDRAL CITY, CA
    ZIP 92234
  • Facility Phone: 760 507-3310
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: JOSEPH AQUILINA
  • NPI Number: 1386180404
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2128933
LAB Type Federally Qualified Health Center
Facility Name DAP HEALTH-STONEWALLCOMMUNITY HEALTH CENTER
Street 68555 RAMON RD
City CATHEDRAL CITY
State CA
ZIP 92234
Phone 760 507-3310
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 Federally Qualified Health Center
Lab Director JOSEPH AQUILINA

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