05D2313812 CLIA NUMBER - ADVANCED ENDOSCOPY CENTERS

Laboratory Demographics

  • CLIA Code: 05D2313812
  • Facility Name: ADVANCED ENDOSCOPY CENTERS
  • Facility Address: 47120 DUNE PALMS ROAD SUITE 111
    LA QUINTA, CA
    ZIP 92253
  • Facility Phone: 760 219-0155
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: HOMAN ABDOLLAHZADEH
  • NPI Number: 1043043250
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2313812
LAB Type Ambulatory Surgery Center
Facility Name ADVANCED ENDOSCOPY CENTERS
Street 47120 DUNE PALMS ROAD SUITE 111
City LA QUINTA
State CA
ZIP 92253
Phone 760 219-0155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2024
Certificate Expiration Date 11/6/2026
Facility Type Ambulatory Surgery Center
Lab Director HOMAN ABDOLLAHZADEH

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