05D0875230 CLIA NUMBER - CITRUS NURSING CENTER

Laboratory Demographics

  • CLIA Code: 05D0875230
  • Facility Name: CITRUS NURSING CENTER
  • Facility Address: 9440 CITRUS AVENUE
    FONTANA, CA
    ZIP 92335
  • Facility Phone: 909 823-3481
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: THOMAS WOODBURY MD
  • NPI Number: 1346346285
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0875230
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CITRUS NURSING CENTER
Street 9440 CITRUS AVENUE
City FONTANA
State CA
ZIP 92335
Phone 909 823-3481
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director THOMAS WOODBURY MD

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