05D0575586 CLIA NUMBER - PALM TERRACE CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0575586
  • Facility Name: PALM TERRACE CARE CENTER
  • Facility Address: 11162 PALM TERRACE LN
    RIVERSIDE, CA
    ZIP 92505
  • Facility Phone: 951 687-7330
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: VIKRAM SAHAY
  • NPI Number: 1295710796
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0575586
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PALM TERRACE CARE CENTER
Street 11162 PALM TERRACE LN
City RIVERSIDE
State CA
ZIP 92505
Phone 951 687-7330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director VIKRAM SAHAY

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