CLIA lab
CLIA 05D1007646: Mirage Endoscopy Center LP
Rancho Mirage, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1007646 belongs to Mirage Endoscopy Center LP in Rancho Mirage, CA.
Certificate of Waiver, effective December 24, 2024, expires December 23, 2026.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- December 24, 2024
- Certificate expiration
- December 23, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 24, 2002
- Facility type
- Ambulatory surgery center
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1007646
- Lab name
- Mirage Endoscopy Center LP
- Address
- 70017 Highway 111, Ste 2, Rancho Mirage, CA 92270
- Phone
- (760) 837-9210
Annual test volume the lab reported
- Waived tests
- 10,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Rancho Mirage, CA
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- Aneta Stirling MDCertificate of Waiver, Physician office05D1017204
- Aoc Rancho Mirage Opco, LPCertificate of Waiver, Assisted living facility05D2222412
- Bayshire Rancho MirageCertificate of Waiver, Skilled nursing or nursing facility05D0980885
- Betty Ford CenterCertificate of Waiver, Other05D1068073
- Brookdale Mirage InnCertificate of Waiver, Assisted living facility05D2292682
- Contour Dermatology and Cosmetic SurgeryCertificate of Compliance, Physician office05D1014556
- Del Rosa Hospice and Palliative Care Inc DBACertificate of Waiver, Hospice05D2230291
- Derakhsh Fozouni, MD Ob-GynCertificate of Waiver, Physician office05D1093154
- Desert Hematology Oncology Medical GRPCertificate of Accreditation, Physician office05D0572794
Related
Questions
What is the CLIA number for Mirage Endoscopy Center LP in Rancho Mirage?
05D1007646, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mirage Endoscopy Center LP hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1007646 expire?
The CMS file lists December 23, 2026 as the certificate expiration date; the certificate took effect December 24, 2024.