05D2310726 CLIA NUMBER - EISENHOWER CONCIERGE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 05D2310726
  • Facility Name: EISENHOWER CONCIERGE ASSOCIATES
  • Facility Address: 39000 BOB HOPE DRIVE (HUBBARD BUILDING)
    RANCHO MIRAGE, CA
    ZIP 92270
  • Facility Phone: 760 834-7965
  • Facility Type: Other - POC TESTING @ PATIENTHOME
  • Facility Type: Waiver
  • Lab Director: ALAN E. WILLIAMSON
  • NPI Number: 1699811190
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2310726
LAB Type Other - POC TESTING @ PATIENTHOME
Facility Name EISENHOWER CONCIERGE ASSOCIATES
Street 39000 BOB HOPE DRIVE (HUBBARD BUILDING)
City RANCHO MIRAGE
State CA
ZIP 92270
Phone 760 834-7965
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2024
Certificate Expiration Date 9/8/2026
Facility Type Other - POC TESTING @ PATIENTHOME
Lab Director ALAN E. WILLIAMSON

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