05D2029203 CLIA NUMBER - STILLMAN HOUSE

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CLIA Record

Field Name Field Value
CLIA Number 05D2029203
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name STILLMAN HOUSE
Street 1528 STILLMAN AVE
City REDLANDS
State CA
ZIP 92374
Phone 909 792-6829
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
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