05D0575254 CLIA NUMBER - COMMUNITY HOSPITAL OF SAN BERNARDINO

Laboratory Demographics

CLIA Number: 05D0575254

Facility Name: COMMUNITY HOSPITAL OF SAN BERNARDINO

Facility Address:
1805 MEDICAL CENTER DRIVE
SAN BERNARDINO, CA
ZIP 92411
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Facility Phone Number: (909) 806-1452

Facility Type: ANCILLARY TEST SITE

Certificate Type: Accreditation

NPI Number: 1023178837

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name	Field Value
CLIA Number	05D0575254
LAB Type	ANCILLARY TEST SITE
Facility Name	COMMUNITY HOSPITAL OF SAN BERNARDINO
Street	1805 MEDICAL CENTER DRIVE
City	SAN BERNARDINO
State	CA
ZIP	92411
Phone	(909) 806-1452

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