05D1070792 CLIA NUMBER - NORTHAMPTON HOUSE

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CLIA Record

Field Name Field Value
CLIA Number 05D1070792
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name NORTHAMPTON HOUSE
Street 35284 WILDWOOD CANYON RD
City YUCAIPA
State CA
ZIP 92399
Phone 909 797-2769
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2025
Certificate Expiration Date 7/9/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director SHARON RIESEN

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