05D1104934 CLIA NUMBER - TOTALLY KIDS REHABILITATION HOSPITAL

Laboratory Demographics

  • CLIA Code: 05D1104934
  • Facility Name: TOTALLY KIDS REHABILITATION HOSPITAL
  • Facility Address: 1720 MOUNTAIN VIEW AVE
    LOMA LINDA, CA
    ZIP 92354
  • Facility Phone: 909 796-6915
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: MARK J. BECK
  • NPI Number: 1437149556
  • Taxonomy: 3140N1450X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1104934
LAB Type Hospital
Facility Name TOTALLY KIDS REHABILITATION HOSPITAL
Street 1720 MOUNTAIN VIEW AVE
City LOMA LINDA
State CA
ZIP 92354
Phone 909 796-6915
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type Hospital
Lab Director MARK J. BECK

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