05D2172587 CLIA NUMBER - RANCHO BELLAGIO POST ACUTE

Laboratory Demographics

  • CLIA Code: 05D2172587
  • Facility Name: RANCHO BELLAGIO POST ACUTE
  • Facility Address: 26940 E HOSPITAL ROAD
    MORENO VALLEY, CA
    ZIP 92555
  • Facility Phone: 951 363-5434
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ANOUSHEH ASHOURI
  • NPI Number: 1285297291
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2172587
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RANCHO BELLAGIO POST ACUTE
Street 26940 E HOSPITAL ROAD
City MORENO VALLEY
State CA
ZIP 92555
Phone 951 363-5434
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2025
Certificate Expiration Date 9/24/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ANOUSHEH ASHOURI

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