05D0573561 CLIA NUMBER - MEADOWBROOK CONV HOSPITAL

Laboratory Demographics

  • CLIA Code: 05D0573561
  • Facility Name: MEADOWBROOK CONV HOSPITAL
  • Facility Address: 461 E JOHNSTON AVE
    HEMET, CA
    ZIP 92543
  • Facility Phone: 909 658-6374
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BRIGITTA BRASWELL
  • NPI Number: 1801492756
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0573561
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MEADOWBROOK CONV HOSPITAL
Street 461 E JOHNSTON AVE
City HEMET
State CA
ZIP 92543
Phone 909 658-6374
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 BRIGITTA BRASWELL

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