05D2081176 CLIA NUMBER - SAN BERNARDINO HOME TRAINING

Laboratory Demographics

  • CLIA Code: 05D2081176
  • Facility Name: SAN BERNARDINO HOME TRAINING
  • Facility Address: 966 E HOSPITALITY LN
    SAN BERNARDINO, CA
    ZIP 92408
  • Facility Phone: 909 796-8421
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: PARAG MEHTANI
  • NPI Number: 1306267364
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2081176
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SAN BERNARDINO HOME TRAINING
Street 966 E HOSPITALITY LN
City SAN BERNARDINO
State CA
ZIP 92408
Phone 909 796-8421
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director PARAG MEHTANI

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