05D2207117 CLIA NUMBER - CITRUS HILLS ASSISTED LIVING

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Laboratory Demographics

CLIA Number: 05D2207117

Facility Name: CITRUS HILLS ASSISTED LIVING

Facility Address:
142 SOUTH PROSPECT ST
ORANGE, CA
ZIP 92869
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Facility Phone Number: 714 639-3590

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1740750165

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	05D2207117
LAB Type	Assisted Living Facility
Facility Name	CITRUS HILLS ASSISTED LIVING
Street	142 SOUTH PROSPECT ST
City	ORANGE
State	CA
ZIP	92869
Phone	714 639-3590
CertificateType	4
CertificateEffectiveDate	12/23/2022
CertificateExpirationDate	12/22/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024