05D2294104 CLIA NUMBER - CANYON PALMS SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2294104
  • Facility Name: CANYON PALMS SURGERY CENTER
  • Facility Address: 1221 N INDIAN CANYON DRIVE
    PALM SPRINGS, CA
    ZIP 92262
  • Facility Phone: 559 301-3594
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PEDRAM ILBEIGI
  • NPI Number: 1023799376
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2294104
LAB Type Ambulatory Surgery Center
Facility Name CANYON PALMS SURGERY CENTER
Street 1221 N INDIAN CANYON DRIVE
City PALM SPRINGS
State CA
ZIP 92262
Phone 559 301-3594
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Ambulatory Surgery Center
Lab Director PEDRAM ILBEIGI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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