05D2184621 CLIA NUMBER - EDITH A JONES-POLAND MD PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 05D2184621
  • Facility Name: EDITH A JONES-POLAND MD PRIMARY CARE
  • Facility Address: 73345 HIGHWAY 111, STE 101
    PALM DESERT, CA
    ZIP 92260
  • Facility Phone: 760 773-4948
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDITH A. JONES-POLAND
  • NPI Number: 1740283084
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 05D2184621
LAB Type Physician Office
Facility Name EDITH A JONES-POLAND MD PRIMARY CARE
Street 73345 HIGHWAY 111, STE 101
City PALM DESERT
State CA
ZIP 92260
Phone 760 773-4948
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 5/20/2026
Facility Type Physician Office
Lab Director EDITH A. JONES-POLAND

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