05D2289433 CLIA NUMBER - RIVER VISTA BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 05D2289433
  • Facility Name: RIVER VISTA BEHAVIORAL HEALTH
  • Facility Address: 40886 GOODWIN WAY
    MADERA, CA
    ZIP 93636
  • Facility Phone: 559 603-6000
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: DHAVENDRAN RAMAR
  • NPI Number: 1295464600
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D2289433
LAB Type Hospital
Facility Name RIVER VISTA BEHAVIORAL HEALTH
Street 40886 GOODWIN WAY
City MADERA
State CA
ZIP 93636
Phone 559 603-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2023
Certificate Expiration Date 9/10/2025
Facility Type Hospital
Lab Director DHAVENDRAN RAMAR

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This page was last updated on: 6/4/2025