05D2298785 CLIA NUMBER - UNICA HC, LLC DBA UNIVERSITY POST ACUTE

Laboratory Demographics

  • CLIA Code: 05D2298785
  • Facility Name: UNICA HC, LLC DBA UNIVERSITY POST ACUTE
  • Facility Address: 2278 NICE AVENUE
    MENTONE, CA
    ZIP 92359
  • Facility Phone: 909 794-1189
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SEPEHR GOLBOO
  • NPI Number: 1467020743
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2298785
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name UNICA HC, LLC DBA UNIVERSITY POST ACUTE
Street 2278 NICE AVENUE
City MENTONE
State CA
ZIP 92359
Phone 909 794-1189
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SEPEHR GOLBOO

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