Healther Providers Data Logo

05D0564390 CLIA NUMBER - INLAND VALLEY CARE AND REHABILITATION CENTER

Laboratory Demographics

CLIA Number: 05D0564390

Facility Name: INLAND VALLEY CARE AND REHABILITATION CENTER

Facility Address:
250 WEST ARTESIA STREET
POMONA, CA
ZIP 91768
Get Directions

Facility Phone Number: 909 623-7100

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1841232279

Taxonomy: 314000000X - Skilled Nursing Facility
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

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
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024