05D2222742 CLIA NUMBER - FREDERICK N EKO, MD

Laboratory Demographics

  • CLIA Code: 05D2222742
  • Facility Name: FREDERICK N EKO, MD
  • Facility Address: 44651 VILLAGE CT SUITE 104
    PALM DESERT, CA
    ZIP 92260
  • Facility Phone: 760 249-2222
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: FREDERICK N. EKO
  • NPI Number: 1134394117
  • Taxonomy: 2086S0122X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 05D2222742
LAB Type Ambulatory Surgery Center
Facility Name FREDERICK N EKO, MD
Street 44651 VILLAGE CT SUITE 104
City PALM DESERT
State CA
ZIP 92260
Phone 760 249-2222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Ambulatory Surgery Center
Lab Director FREDERICK N. EKO

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