05D2130230 CLIA NUMBER - DESERT CARE ENTERPRISES, LLC

Laboratory Demographics

CLIA Number: 05D2130230

Facility Name: DESERT CARE ENTERPRISES, LLC

Facility Address:
555 S SUNRISE WAY, STE 213
PALM SPRINGS, CA
ZIP 92264
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Facility Phone Number: 760 318-0668

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1104215920

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name Field Value
CLIA Number 05D2130230
LAB Type Hospice
Facility Name DESERT CARE ENTERPRISES, LLC
Street 555 S SUNRISE WAY, STE 213
City PALM SPRINGS
State CA
ZIP 92264
Phone 760 318-0668
CertificateType 4
CertificateEffectiveDate 5/4/2023
CertificateExpirationDate 5/3/2025
FacilityType Waiver

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