05D2284442 CLIA NUMBER - RANCHO RECOVERY LLC

Laboratory Demographics

  • CLIA Code: 05D2284442
  • Facility Name: RANCHO RECOVERY LLC
  • Facility Address: 13684 JEREMY CT
    RANCHO CUCAMONGA, CA
    ZIP 91739
  • Facility Phone: 909 476-2023
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: MICHAEL VALDEZ
  • NPI Number: 1700560695
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2284442
LAB Type Ancillary Testing Site in Health Care Center
Facility Name RANCHO RECOVERY LLC
Street 13684 JEREMY CT
City RANCHO CUCAMONGA
State CA
ZIP 91739
Phone 909 476-2023
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director MICHAEL VALDEZ

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