05D2271210 CLIA NUMBER - DESERT RIDGE TRANSITIONAL CARE CENTER, LP

Laboratory Demographics

  • CLIA Code: 05D2271210
  • Facility Name: DESERT RIDGE TRANSITIONAL CARE CENTER, LP
  • Facility Address: 13300 11TH AVENUE
    VICTORVILLE, CA
    ZIP 92395
  • Facility Phone: 760 963-3718
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ARASH MILANI
  • NPI Number: 1043837966
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2271210
LAB Type Hospice
Facility Name DESERT RIDGE TRANSITIONAL CARE CENTER, LP
Street 13300 11TH AVENUE
City VICTORVILLE
State CA
ZIP 92395
Phone 760 963-3718
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Hospice
Lab Director ARASH MILANI

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