05D0573943 CLIA NUMBER - CENTINELA GRAND, INC

Laboratory Demographics

  • CLIA Code: 05D0573943
  • Facility Name: CENTINELA GRAND, INC
  • Facility Address: 2225 N PERRIS BLVD
    PERRIS, CA
    ZIP 92571
  • Facility Phone: 909 657-2135
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LAKSHMAN D. MAKANDURA, MD
  • NPI Number: 1033431374
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0573943
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CENTINELA GRAND, INC
Street 2225 N PERRIS BLVD
City PERRIS
State CA
ZIP 92571
Phone 909 657-2135
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LAKSHMAN D. MAKANDURA, MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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