05D2131296 CLIA NUMBER - INDIO MEDICAL CLINIC INC

Laboratory Demographics

  • CLIA Code: 05D2131296
  • Facility Name: INDIO MEDICAL CLINIC INC
  • Facility Address: 82360 HWY 111 STE E
    INDIO, CA
    ZIP 92201
  • Facility Phone: 760 342-8828
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: HITESH PATEL
  • NPI Number: 1851348643
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2131296
LAB Type Practitioner Other
Facility Name INDIO MEDICAL CLINIC INC
Street 82360 HWY 111 STE E
City INDIO
State CA
ZIP 92201
Phone 760 342-8828
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Practitioner Other
Lab Director HITESH PATEL

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