05D2187457 CLIA NUMBER - RIVERSIDE COUNTY TELECARE MENTAL HEALTH REHAB CENTER

Laboratory Demographics

CLIA Code: 05D2187457
Facility Name: RIVERSIDE COUNTY TELECARE MENTAL HEALTH REHAB CENTER
Facility Address: 3933 HARRISON STREET
RIVERSIDE, CA
ZIP 92503
Facility Phone: 833 391-0505
Facility Type: Other - MENTAL HEALTH REHAB CTR
Facility Type: Waiver
Lab Director: YUCUI CHEN
NPI Number: 1174144844
Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness

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CLIA Record

Field Name	Field Value
CLIA Number	05D2187457
LAB Type	Other - MENTAL HEALTH REHAB CTR
Facility Name	RIVERSIDE COUNTY TELECARE MENTAL HEALTH REHAB CENTER
Street	3933 HARRISON STREET
City	RIVERSIDE
State	CA
ZIP	92503
Phone	833 391-0505
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	7/1/2024
Certificate Expiration Date	6/30/2026
Facility Type	Other - MENTAL HEALTH REHAB CTR
Lab Director	YUCUI CHEN

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