05D0904416 CLIA NUMBER - RIVERSIDE HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0904416
  • Facility Name: RIVERSIDE HEALTHCARE CENTER
  • Facility Address: 8781 LAKEVIEW AVENUE
    RIVERSIDE, CA
    ZIP 92509
  • Facility Phone: 951 685-1531
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LUTHER MANGOBA
  • NPI Number: 1710166558
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0904416
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RIVERSIDE HEALTHCARE CENTER
Street 8781 LAKEVIEW AVENUE
City RIVERSIDE
State CA
ZIP 92509
Phone 951 685-1531
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2025
Certificate Expiration Date 8/16/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LUTHER MANGOBA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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