05D2276364 CLIA NUMBER - PROSPERO WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 05D2276364
  • Facility Name: PROSPERO WELLNESS CENTER
  • Facility Address: 79448 CALLE PROSPERO
    LA QUINTA, CA
    ZIP 92253
  • Facility Phone: 818 441-2177
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: MARTIN A. SAHAKYAN
  • NPI Number: 1487398921
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2276364
LAB Type Ancillary Testing Site in Health Care Center
Facility Name PROSPERO WELLNESS CENTER
Street 79448 CALLE PROSPERO
City LA QUINTA
State CA
ZIP 92253
Phone 818 441-2177
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director MARTIN A. SAHAKYAN

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