CLIA lab
CLIA 05D1062991: Rancho Mirage Pain Center
Rancho Mirage, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1062991 belongs to Rancho Mirage Pain Center in Rancho Mirage, CA.
Certificate of Waiver, effective January 3, 2025, expires January 2, 2027.
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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- January 3, 2025
- Certificate expiration
- January 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 3, 2007
- 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
- 05D1062991
- Lab name
- Rancho Mirage Pain Center
- Address
- 39300 Bob Hope Dr, Bannon Bldg, #1203, Rancho Mirage, CA 92270
- Phone
- (760) 773-1571
- Fax
- (760) 773-3091
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Rancho Mirage, CA
- Ag Rancho MirageCertificate of Waiver, Skilled nursing or nursing facility05D0572826
- 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 Rancho Mirage Pain Center in Rancho Mirage?
05D1062991, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Rancho Mirage Pain Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1062991 expire?
The CMS file lists January 2, 2027 as the certificate expiration date; the certificate took effect January 3, 2025.