05D2161737 CLIA NUMBER - DR MARUPURU A PROFESSIONAL CORPORATION

Laboratory Demographics

CLIA Number: 05D2161737

Facility Name: DR MARUPURU A PROFESSIONAL CORPORATION

Facility Address:
490 S FARRELL DR SUITE C106
PALM SPRINGS, CA
ZIP 92262
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Facility Phone Number: 760 615-0018

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1174090021

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D2161737
LAB Type	Physician Office
Facility Name	DR MARUPURU A PROFESSIONAL CORPORATION
Street	490 S FARRELL DR SUITE C106
City	PALM SPRINGS
State	CA
ZIP	92262
Phone	760 615-0018
CertificateType	4
CertificateEffectiveDate	2/8/2023
CertificateExpirationDate	2/7/2025
FacilityType	Waiver

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