05D2137112 CLIA NUMBER - TELECARE RIVERSIDE COUNTY CRISIS RESIDENTIAL - LAGOS

Laboratory Demographics

  • CLIA Code: 05D2137112
  • Facility Name: TELECARE RIVERSIDE COUNTY CRISIS RESIDENTIAL - LAGOS
  • Facility Address: 9890 COUNTY FARM ROAD BLDG 3
    RIVERSIDE, CA
    ZIP 92503
  • Facility Phone: 951 509-8320
  • Facility Type: Other - CRISIS RESIDENTIAL TRTMT
  • Facility Type: Waiver
  • Lab Director: YUCUI CHEN, MD
  • NPI Number: 1922531839
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2137112
LAB Type Other - CRISIS RESIDENTIAL TRTMT
Facility Name TELECARE RIVERSIDE COUNTY CRISIS RESIDENTIAL - LAGOS
Street 9890 COUNTY FARM ROAD BLDG 3
City RIVERSIDE
State CA
ZIP 92503
Phone 951 509-8320
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2025
Certificate Expiration Date 3/18/2027
Facility Type Other - CRISIS RESIDENTIAL TRTMT
Lab Director YUCUI CHEN, MD

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