05D2326700 CLIA NUMBER - COLTIN CARE HOMES LLC

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CLIA Record

Field Name Field Value
CLIA Number 05D2326700
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name COLTIN CARE HOMES LLC
Street 1616 N ENCINA AVE
City RIALTO
State CA
ZIP 92376
Phone 818 307-3675
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director MANUEL MANRIQUE

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