05D2151798 CLIA NUMBER - TRELLIS CHINO

Laboratory Demographics

  • CLIA Code: 05D2151798
  • Facility Name: TRELLIS CHINO
  • Facility Address: 5454 WALNUT AVENUE
    CHINO, CA
    ZIP 91710
  • Facility Phone: 909 465-0246
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KEINO RUTHERFORD
  • NPI Number: 1184140964
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2151798
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name TRELLIS CHINO
Street 5454 WALNUT AVENUE
City CHINO
State CA
ZIP 91710
Phone 909 465-0246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2024
Certificate Expiration Date 7/26/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KEINO RUTHERFORD

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