05D1070795 CLIA NUMBER - SALISBURY HOUSE

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CLIA Record

Field Name Field Value
CLIA Number 05D1070795
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name SALISBURY HOUSE
Street 13131 6TH PLACE UNIT 3
City YUCAIPA
State CA
ZIP 92399
Phone 909 795-3929
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