05D0862565 CLIA NUMBER - CEDAR MOUNTAIN POST ACUTE ,-

Laboratory Demographics

  • CLIA Code: 05D0862565
  • Facility Name: CEDAR MOUNTAIN POST ACUTE ,-
  • Facility Address: 11970 FOURTH STREET
    YUCAIPA, CA
    ZIP 92399
  • Facility Phone: 909 790-2273
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JEAN-CLAUDE HAGE, MD
  • NPI Number: 1467847996
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0862565
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CEDAR MOUNTAIN POST ACUTE ,-
Street 11970 FOURTH STREET
City YUCAIPA
State CA
ZIP 92399
Phone 909 790-2273
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 JEAN-CLAUDE HAGE, MD

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