CLIA lab
CLIA 05D2002900: Eisenhower Imaging Center, LLC
Rancho Mirage, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2002900 belongs to Eisenhower Imaging Center, LLC in Rancho Mirage, CA.
Certificate of Waiver, effective January 28, 2026, expires January 27, 2028.
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 28, 2026
- Certificate expiration
- January 27, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 28, 2010
- Facility type
- Independent
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2002900
- Lab name
- Eisenhower Imaging Center, LLC
- Address
- 72780 Country Club Drive Ste A106, Rancho Mirage, CA 92270
- Phone
- (760) 674-3880
- Fax
- (760) 674-3894
Annual test volume the lab reported
- Waived tests
- 1,700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
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 Eisenhower Imaging Center, LLC in Rancho Mirage?
05D2002900, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Eisenhower Imaging Center, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2002900 expire?
The CMS file lists January 27, 2028 as the certificate expiration date; the certificate took effect January 28, 2026.