05D0574041 CLIA NUMBER - ASISTENCIA VILLA HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0574041
  • Facility Name: ASISTENCIA VILLA HEALTHCARE CENTER
  • Facility Address: 1875 BARTON ROAD
    REDLANDS, CA
    ZIP 92373
  • Facility Phone: 909 793-1382
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. JEAN CLAUDE HAGE
  • NPI Number: 1720307796
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0574041
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ASISTENCIA VILLA HEALTHCARE CENTER
Street 1875 BARTON ROAD
City REDLANDS
State CA
ZIP 92373
Phone 909 793-1382
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 DR. JEAN CLAUDE HAGE

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