05D0571963 CLIA NUMBER - HIGHLAND SPRINGS CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0571963
  • Facility Name: HIGHLAND SPRINGS CARE CENTER
  • Facility Address: 1441 N MICHIGAN AVE
    BEAUMONT, CA
    ZIP 92223
  • Facility Phone: 951 769-2500
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MELANCHTON A. MANGOBA MD
  • NPI Number: 1376963785
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0571963
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HIGHLAND SPRINGS CARE CENTER
Street 1441 N MICHIGAN AVE
City BEAUMONT
State CA
ZIP 92223
Phone 951 769-2500
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 MELANCHTON A. MANGOBA MD

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This page was last updated on: 6/4/2025