05D1086271 CLIA NUMBER - ROSEWOOD HOUSE

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Field Name	Field Value
CLIA Number	05D1086271
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	ROSEWOOD HOUSE
Street	720 W ROSEWOOD CT
City	ONTARIO
State	CA
ZIP	91762
Phone	909 397-5824
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	2/12/2025
Certificate Expiration Date	2/11/2027
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	ALAN D. CUNDARI

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