05D0862295 CLIA NUMBER - AG REDLANDS LLC DBA HIGHLAND CARE CENTER OF REDLANDS

Laboratory Demographics

  • CLIA Code: 05D0862295
  • Facility Name: AG REDLANDS LLC DBA HIGHLAND CARE CENTER OF REDLANDS
  • Facility Address: 700 EAST HIGHLAND AVE
    REDLANDS, CA
    ZIP 92374
  • Facility Phone: 909 793-2678
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TONDA D. BRADSHAW
  • NPI Number: 1790779288
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0862295
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AG REDLANDS LLC DBA HIGHLAND CARE CENTER OF REDLANDS
Street 700 EAST HIGHLAND AVE
City REDLANDS
State CA
ZIP 92374
Phone 909 793-2678
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TONDA D. BRADSHAW

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