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05D2137652 CLIA NUMBER - WEST COAST SURGERY

Laboratory Demographics

CLIA Number: 05D2137652

Facility Name: WEST COAST SURGERY

Facility Address:
36915 COOK ST STE 103B
PALM DESERT, CA
ZIP 92211
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Facility Phone Number: 760 641-7217

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver
NPI Number: 1992248918

Taxonomy: 207X00000X - Orthopaedic Surgery
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

CLIA Record

Field Name Field Value
CLIA Number 05D2137652
LAB Type Ambulatory Surgery Center
Facility Name WEST COAST SURGERY
Street 36915 COOK ST STE 103B
City PALM DESERT
State CA
ZIP 92211
Phone 760 641-7217
CertificateType 4
CertificateEffectiveDate 10/2/2023
CertificateExpirationDate 10/1/2025
FacilityType Waiver

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