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05D0898141 CLIA NUMBER - SUNBRIDGE BRASWELL ENTERPRISES LLC DBA OLIVE VISTA BEHAVIORAL HEALTH CENTER

Laboratory Demographics

CLIA Number: 05D0898141

Facility Name: SUNBRIDGE BRASWELL ENTERPRISES LLC DBA OLIVE VISTA BEHAVIORAL HEALTH CENTER

Facility Address:
2335 S TOWNE AVE
POMONA, CA
ZIP 91766
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Facility Phone Number: 909 628-6024

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1336196484

Taxonomy: 314000000X - Skilled Nursing Facility
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

CLIA Record

Field Name Field Value
CLIA Number 05D0898141
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SUNBRIDGE BRASWELL ENTERPRISES LLC DBA OLIVE VISTA BEHAVIORAL HEALTH CENTER
Street 2335 S TOWNE AVE
City POMONA
State CA
ZIP 91766
Phone 909 628-6024
CertificateType 4
CertificateEffectiveDate 9/19/2023
CertificateExpirationDate 9/18/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024