05D2180637 CLIA NUMBER - NEW ERA CONGREGATE LIVING FACILITY LLC

Laboratory Demographics

  • CLIA Code: 05D2180637
  • Facility Name: NEW ERA CONGREGATE LIVING FACILITY LLC
  • Facility Address: 1180 SEA LAVENDER LANE
    BEAUMONT, CA
    ZIP 92223
  • Facility Phone: 951 236-1095
  • Facility Type: Other - CONGREGATE LIVING HEALTH
  • Facility Type: Waiver
  • Lab Director: ANCEL J. ROGERS
  • NPI Number: 1639676661
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2180637
LAB Type Other - CONGREGATE LIVING HEALTH
Facility Name NEW ERA CONGREGATE LIVING FACILITY LLC
Street 1180 SEA LAVENDER LANE
City BEAUMONT
State CA
ZIP 92223
Phone 951 236-1095
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2024
Certificate Expiration Date 3/17/2026
Facility Type Other - CONGREGATE LIVING HEALTH
Lab Director ANCEL J. ROGERS

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