05D2210247 CLIA NUMBER - TOTAL CARE WORK INJURY CLINIC

Laboratory Demographics

  • CLIA Code: 05D2210247
  • Facility Name: TOTAL CARE WORK INJURY CLINIC
  • Facility Address: 72057 HIGHWAY 111
    RANCHO MIRAGE, CA
    ZIP 92270
  • Facility Phone: 760 619-3053
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. WAYNE D. STARKS
  • NPI Number: 1437311149
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 05D2210247
LAB Type Physician Office
Facility Name TOTAL CARE WORK INJURY CLINIC
Street 72057 HIGHWAY 111
City RANCHO MIRAGE
State CA
ZIP 92270
Phone 760 619-3053
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2025
Certificate Expiration Date 1/19/2027
Facility Type Physician Office
Lab Director DR. WAYNE D. STARKS

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