05D2199143 CLIA NUMBER - DESERT WIND HOSPICE, INC

Laboratory Demographics

  • CLIA Code: 05D2199143
  • Facility Name: DESERT WIND HOSPICE, INC
  • Facility Address: 14359 AMARGOSA RD STE O
    VICTORVILLE, CA
    ZIP 92392
  • Facility Phone: 442 255-4311
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SHAHEEN IQBAL
  • NPI Number: 1053955070
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2199143
LAB Type Home Health Agency
Facility Name DESERT WIND HOSPICE, INC
Street 14359 AMARGOSA RD STE O
City VICTORVILLE
State CA
ZIP 92392
Phone 442 255-4311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Home Health Agency
Lab Director SHAHEEN IQBAL

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