05D0726452 CLIA NUMBER - APPLE VALLEY CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0726452
  • Facility Name: APPLE VALLEY CARE CENTER
  • Facility Address: 11959 APPLE VALLEY RD
    APPLE VALLEY, CA
    ZIP 92308
  • Facility Phone: 760 240-5051
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: IMRAN SIDDIQUI
  • NPI Number: 1215908090
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0726452
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name APPLE VALLEY CARE CENTER
Street 11959 APPLE VALLEY RD
City APPLE VALLEY
State CA
ZIP 92308
Phone 760 240-5051
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director IMRAN SIDDIQUI

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