05D2243281 CLIA NUMBER - MKB CONSULTING LLC

Laboratory Demographics

CLIA Number: 05D2243281

Facility Name: MKB CONSULTING LLC

Facility Address:
74710 HIGHWAY 111 STE 101
PALM DESERT, CA
ZIP 92260
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Facility Phone Number: 800 909-7971

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1144838723

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D2243281
LAB Type	Hospice
Facility Name	MKB CONSULTING LLC
Street	74710 HIGHWAY 111 STE 101
City	PALM DESERT
State	CA
ZIP	92260
Phone	800 909-7971
CertificateType	4
CertificateEffectiveDate	11/17/2023
CertificateExpirationDate	11/16/2025
FacilityType	Waiver

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