05D2136027 CLIA NUMBER - RIVERSIDE HEIGHTS HEALTHCARE CENTER LLC

Laboratory Demographics

CLIA Number: 05D2136027

Facility Name: RIVERSIDE HEIGHTS HEALTHCARE CENTER LLC

Facility Address:
8951 GRANITE HILL DR
RIVERSIDE, CA
ZIP 92509
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Facility Phone Number: 951 385-7474

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1972849271

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2136027
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	RIVERSIDE HEIGHTS HEALTHCARE CENTER LLC
Street	8951 GRANITE HILL DR
City	RIVERSIDE
State	CA
ZIP	92509
Phone	951 385-7474
CertificateType	4
CertificateEffectiveDate	8/31/2023
CertificateExpirationDate	8/30/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024