05D0643235 CLIA NUMBER - YUHCA HC, LLC DBA YUCAIPA HILLS POST ACUTE

Laboratory Demographics

  • CLIA Code: 05D0643235
  • Facility Name: YUHCA HC, LLC DBA YUCAIPA HILLS POST ACUTE
  • Facility Address: 13542 2ND ST
    YUCAIPA, CA
    ZIP 92399
  • Facility Phone: 909 795-2421
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SEPEHR GOLBOO
  • NPI Number: 1184019614
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0643235
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name YUHCA HC, LLC DBA YUCAIPA HILLS POST ACUTE
Street 13542 2ND ST
City YUCAIPA
State CA
ZIP 92399
Phone 909 795-2421
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2023
Certificate Expiration Date 10/16/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SEPEHR GOLBOO

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