05D0564889 CLIA NUMBER - CHRISTIAN HERITAGE CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0564889
  • Facility Name: CHRISTIAN HERITAGE CARE CENTER
  • Facility Address: 275 B GARNET WAY
    UPLAND, CA
    ZIP 91786
  • Facility Phone: 714 949-4887
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: THOMAS WOODBURY
  • NPI Number: 1750447140
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0564889
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CHRISTIAN HERITAGE CARE CENTER
Street 275 B GARNET WAY
City UPLAND
State CA
ZIP 91786
Phone 714 949-4887
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 THOMAS WOODBURY

Download Record

Download this CLIA record record in Text format: Export

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

Download this CLIA record record in XML format: Export

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