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

Laboratory Demographics

  • CLIA Code: 05D0898141
  • Facility Name: SUNBRIDGE BRASWELL ENTERPRISES LLC DBA OLIVE VISTA BEHAVIORAL HEALTH CENTER
  • Facility Address: 2335 S TOWNE AVE
    POMONA, CA
    ZIP 91766
  • Facility Phone: 909 628-6024
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ALAN MARKIE
  • NPI Number: 1336196484
  • Taxonomy: 314000000X - Skilled Nursing Facility

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2025
Certificate Expiration Date 9/18/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ALAN MARKIE

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