05D1066098 CLIA NUMBER - HIGHER GROUND HOMES #1

Laboratory Demographics

CLIA Number: 05D1066098

Facility Name: HIGHER GROUND HOMES #1

Facility Address:
422 BALBOA DR
DELANO, CA
ZIP 93215
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Facility Phone Number: 661 725-7960

Facility Type: Intermediate Care Facility for Mentally Retarded

Certificate Type: Waiver

NPI Number: 1861785842

Taxonomy: 315P00000X - Intermediate Care Facility, Intellectual Disabilities
An intermediate care facility providing services for individuals with intellectual disabilities.

CLIA Record

Field Name	Field Value
CLIA Number	05D1066098
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	HIGHER GROUND HOMES #1
Street	422 BALBOA DR
City	DELANO
State	CA
ZIP	93215
Phone	661 725-7960
CertificateType	4
CertificateEffectiveDate	3/15/2023
CertificateExpirationDate	3/14/2025
FacilityType	Waiver

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