05D0575263 CLIA NUMBER - COMMUNITY CONVALESCENT CTR SAN BERNARD

Laboratory Demographics

CLIA Number: 05D0575263

Facility Name: COMMUNITY CONVALESCENT CTR SAN BERNARD

Facility Address:
1676 MEDICAL CENTER DR
SAN BERNARDINO, CA
ZIP 92411
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Facility Phone Number: (909) 887-6481

Facility Type: HOSPITAL

Certificate Type: Waiver

NPI Number: 1851395685

Taxonomy: 3140N1450X - Skilled Nursing Facility
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.

CLIA Record

Field Name Field Value
CLIA Number 05D0575263
LAB Type HOSPITAL
Facility Name COMMUNITY CONVALESCENT CTR SAN BERNARD
Street 1676 MEDICAL CENTER DR
City SAN BERNARDINO
State CA
ZIP 92411
Phone (909) 887-6481

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