05D0564390 CLIA NUMBER - INLAND VALLEY CARE AND REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 05D0564390
  • Facility Name: INLAND VALLEY CARE AND REHABILITATION CENTER
  • Facility Address: 250 WEST ARTESIA STREET
    POMONA, CA
    ZIP 91768
  • Facility Phone: 909 623-7100
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: HASSAN ALI CHANHINE
  • NPI Number: 1841232279
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0564390
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name INLAND VALLEY CARE AND REHABILITATION CENTER
Street 250 WEST ARTESIA STREET
City POMONA
State CA
ZIP 91768
Phone 909 623-7100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director HASSAN ALI CHANHINE

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This page was last updated on: 9/29/2025