CLIA lab
CLIA 05D1093154: Derakhsh Fozouni, MD Ob-Gyn
Rancho Mirage, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1093154 belongs to Derakhsh Fozouni, MD Ob-Gyn in Rancho Mirage, CA.
Certificate of Waiver, effective December 11, 2024, expires December 10, 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 11, 2024
- Certificate expiration
- December 10, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 11, 2008
- Facility type
- Physician office
- 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
- 05D1093154
- Lab name
- Derakhsh Fozouni, MD Ob-Gyn
- Additional name
- DBA La Femme Health & Beauty
- Address
- 35400 Bob Hope Dr, Unit 202, Rancho Mirage, CA 92270
- Phone
- (760) 327-2707
- Fax
- (760) 327-0029
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- 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
- Desert Hematology Oncology Medical GRPCertificate of Accreditation, Physician office05D0572794
- Desert Oasis Healthcare Primary Care Rancho MiraCertificate of Waiver, Physician office05D2282989
Related
Questions
What is the CLIA number for Derakhsh Fozouni, MD Ob-Gyn in Rancho Mirage?
05D1093154, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Derakhsh Fozouni, MD Ob-Gyn hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1093154 expire?
The CMS file lists December 10, 2026 as the certificate expiration date; the certificate took effect December 11, 2024.