05D2202687 CLIA NUMBER - HOSPICE PROVIDERS OF THE DESERT INC

Home > CLIA Lookup > 05D2202687

Laboratory Demographics

CLIA Number: 05D2202687

Facility Name: HOSPICE PROVIDERS OF THE DESERT INC

Facility Address:
74333 HWY 1111 SUITE 210
PALM DESERT, CA
ZIP 92260
Get Directions

Facility Phone Number: 760 636-0880

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1427671734

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D2202687
LAB Type	Hospice
Facility Name	HOSPICE PROVIDERS OF THE DESERT INC
Street	74333 HWY 1111 SUITE 210
City	PALM DESERT
State	CA
ZIP	92260
Phone	760 636-0880
CertificateType	4
CertificateEffectiveDate	11/30/2022
CertificateExpirationDate	11/29/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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