CLINICA COACHELLA, INC
NPI 1063962538
Clinic/Center in Coachella, CA
- Organization
- Clinic/Center
- CLIA Number: 05D2122542
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-29-2026
About CLINICA COACHELLA, INC
This page provides the complete NPI Profile along with additional information for Clinica Coachella, Inc, a provider established in Coachella, California operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1063962538 assigned on October 2016. The practitioner's primary taxonomy code is 261Q00000X with license number A977985 (CA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Giovanna Baturoni (Office Manager)
- NPI
- 1063962538 Verify this NPI
- Provider Name
- CLINICA COACHELLA, INC
- Entity Type
- Organization
- Location Address
- 51544 CESAR CHAVEZ ST STE 1D COACHELLA, CA 92236
- Location Phone
- (760) 861-1436
- Location Fax
- (760) 289-6203
- Mailing Address
- PO BOX 140 COACHELLA, CA 92236
- Mailing Phone
- (760) 861-1436
- Mailing Fax
- (760) 289-6203
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-09-2016
- Last Update Date
- 08-30-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- A977985
- License State
- CA
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2122542
- Facility Type
- Physician Office
- Certificate Effective Date
- November 30, 2024
- Certificate Expiration Date
- November 29, 2026
- Laboratory Director
- JULIAN J. ALFARO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Clinica Coachella, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063962538, enumerated as an "organization" on October 09, 2016.
The provider is located at 51544 CESAR CHAVEZ ST STE 1D COACHELLA, CA 92236 and the phone number is (760) 861-1436.
Clinic/Center with taxonomy code 261Q00000X.
