05D0574643 CLIA NUMBER - SPRING VALLEY POST ACUTE

Laboratory Demographics

CLIA Number: 05D0574643

Facility Name: SPRING VALLEY POST ACUTE

Facility Address:
14973 HESPERIA RD
VICTORVILLE, CA
ZIP 92392
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Facility Phone Number: (619) 245-6477

Facility Type: SKILLED NURSING/NURSING FACILITY

Certificate Type: Waiver

NPI Number: 1821095647

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 05D0574643
LAB Type SKILLED NURSING/NURSING FACILITY
Facility Name SPRING VALLEY POST ACUTE
Street 14973 HESPERIA RD
City VICTORVILLE
State CA
ZIP 92392
Phone (619) 245-6477

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