05D0574087 CLIA NUMBER - REDLANDS COMMUNITY HOSP CLINICAL LAB

Laboratory Demographics

  • CLIA Code: 05D0574087
  • Facility Name: REDLANDS COMMUNITY HOSP CLINICAL LAB
  • Facility Address: 350 TERRACINA BLVD
    REDLANDS, CA
    ZIP 92373
  • Facility Phone: 909 335-6456
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. JEFFREY B. VIRGIN
  • NPI Number: 1669717922
  • Taxonomy: 103TC0700X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 05D0574087
LAB Type Hospital
Facility Name REDLANDS COMMUNITY HOSP CLINICAL LAB
Street 350 TERRACINA BLVD
City REDLANDS
State CA
ZIP 92373
Phone 909 335-6456
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Hospital
Lab Director DR. JEFFREY B. VIRGIN

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