05D2289987 CLIA NUMBER - 10 ACRE RANCH, INC.

Laboratory Demographics

  • CLIA Code: 05D2289987
  • Facility Name: 10 ACRE RANCH, INC.
  • Facility Address: 8605 JANET AVE
    RIVERSIDE, CA
    ZIP 92503
  • Facility Phone: 949 233-3893
  • Facility Type: Other - INPATIENT SUBSTANCE ABUSE
  • Facility Type: Waiver
  • Lab Director: SANJAI M. THANKACHEN
  • NPI Number: 1053724716
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2289987
LAB Type Other - INPATIENT SUBSTANCE ABUSE
Facility Name 10 ACRE RANCH, INC.
Street 8605 JANET AVE
City RIVERSIDE
State CA
ZIP 92503
Phone 949 233-3893
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2025
Certificate Expiration Date 9/18/2027
Facility Type Other - INPATIENT SUBSTANCE ABUSE
Lab Director SANJAI M. THANKACHEN

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