05D0575022 CLIA NUMBER - VALLEY CONVALESCENT HOSPITAL

Laboratory Demographics

CLIA Number: 05D0575022

Facility Name: VALLEY CONVALESCENT HOSPITAL

Facility Address:
1680 NORTH WATERMAN AVENUE
SAN BERNARDINO, CA
ZIP 92404
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Facility Phone Number: (909) 886-5291

Facility Type: SKILLED NURSING/NURSING FACILITY

Certificate Type: Waiver

CLIA Record

Field Name Field Value
CLIA Number 05D0575022
LAB Type SKILLED NURSING/NURSING FACILITY
Facility Name VALLEY CONVALESCENT HOSPITAL
Street 1680 NORTH WATERMAN AVENUE
City SAN BERNARDINO
State CA
ZIP 92404
Phone (909) 886-5291

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