05D2222349 CLIA NUMBER - ST MARTIN HIGH DESERT

Laboratory Demographics

  • CLIA Code: 05D2222349
  • Facility Name: ST MARTIN HIGH DESERT
  • Facility Address: 15475 SENECA RD STE A
    VICTORVILLE, CA
    ZIP 92392
  • Facility Phone: 442 255-4992
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KHAI TRAN
  • NPI Number: 1639771017
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2222349
LAB Type Hospice
Facility Name ST MARTIN HIGH DESERT
Street 15475 SENECA RD STE A
City VICTORVILLE
State CA
ZIP 92392
Phone 442 255-4992
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Hospice
Lab Director KHAI TRAN

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