05D0585482 CLIA NUMBER - HACIENDA CONVALESCENT HOSPITAL

Laboratory Demographics

CLIA Number: 05D0585482

Facility Name: HACIENDA CONVALESCENT HOSPITAL

Facility Address:
301 W PUTNAM AVE
PORTERVILLE, CA
ZIP 93257
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Facility Phone Number: (209) 784-7375

Facility Type: SKILLED NURSING/NURSING FACILITY

Certificate Type: Waiver

CLIA Record

Field Name Field Value
CLIA Number 05D0585482
LAB Type SKILLED NURSING/NURSING FACILITY
Facility Name HACIENDA CONVALESCENT HOSPITAL
Street 301 W PUTNAM AVE
City PORTERVILLE
State CA
ZIP 93257
Phone (209) 784-7375

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