05D2222833 CLIA NUMBER - JFK MEMORIAL HOSPITAL PATHOLOGY LABORATORY

Laboratory Demographics

  • CLIA Code: 05D2222833
  • Facility Name: JFK MEMORIAL HOSPITAL PATHOLOGY LABORATORY
  • Facility Address: 81715 DR CARREON BLVD STE A-2
    INDIO, CA
    ZIP 92201
  • Facility Phone: 760 775-8487
  • Facility Type: Hospice
  • Facility Type: Accreditation
  • Lab Director: DR. OLGA BOHN
  • NPI Number: 1295108728
  • Taxonomy: 282NR1301X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D2222833
LAB Type Hospice
Facility Name JFK MEMORIAL HOSPITAL PATHOLOGY LABORATORY
Street 81715 DR CARREON BLVD STE A-2
City INDIO
State CA
ZIP 92201
Phone 760 775-8487
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Hospice
Lab Director DR. OLGA BOHN

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