05D0573561 CLIA NUMBER - MEADOWBROOK CONV HOSPITAL

Laboratory Demographics

CLIA Number: 05D0573561

Facility Name: MEADOWBROOK CONV HOSPITAL

Facility Address:
461 E JOHNSTON AVE
HEMET, CA
ZIP 92543
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Facility Phone Number: (909) 658-6374

Facility Type: SKILLED NURSING/NURSING FACILITY

Certificate Type: Waiver

NPI Number: 1801492756

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	05D0573561
LAB Type	SKILLED NURSING/NURSING FACILITY
Facility Name	MEADOWBROOK CONV HOSPITAL
Street	461 E JOHNSTON AVE
City	HEMET
State	CA
ZIP	92543
Phone	(909) 658-6374

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This page was last updated on: 5/11/2023