05D2307737 CLIA NUMBER - AHPC PALM DESERT INC

Laboratory Demographics

  • CLIA Code: 05D2307737
  • Facility Name: AHPC PALM DESERT INC
  • Facility Address: 36947 COOK STREET SUITE 104
    PALM DESERT, CA
    ZIP 92211
  • Facility Phone: 760 404-0349
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: OUSAMA ISMAEL
  • NPI Number: 1689274565
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2307737
LAB Type Hospice
Facility Name AHPC PALM DESERT INC
Street 36947 COOK STREET SUITE 104
City PALM DESERT
State CA
ZIP 92211
Phone 760 404-0349
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2024
Certificate Expiration Date 7/14/2026
Facility Type Hospice
Lab Director OUSAMA ISMAEL

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