05D0573822 CLIA NUMBER - LINDA VALLEY CARE CENTER

Laboratory Demographics

CLIA Number: 05D0573822

Facility Name: LINDA VALLEY CARE CENTER

Facility Address:
25383 COLE ST
LOMA LINDA, CA
ZIP 92354
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Facility Phone Number: (909) 796-0235

Facility Type: SKILLED NURSING/NURSING FACILITY

Certificate Type: Waiver

NPI Number: 1811982929

Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

CLIA Record

Field Name Field Value
CLIA Number 05D0573822
LAB Type SKILLED NURSING/NURSING FACILITY
Facility Name LINDA VALLEY CARE CENTER
Street 25383 COLE ST
City LOMA LINDA
State CA
ZIP 92354
Phone (909) 796-0235

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This page was last updated on: 1/7/2022