05D0643184 CLIA NUMBER - DEVONSHIRE CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0643184
  • Facility Name: DEVONSHIRE CARE CENTER
  • Facility Address: 1350 E DEVONSHIRE AVE
    HEMET, CA
    ZIP 92544
  • Facility Phone: 951 925-2571
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SANYASI R. GANTA
  • NPI Number: 1548238702
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0643184
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name DEVONSHIRE CARE CENTER
Street 1350 E DEVONSHIRE AVE
City HEMET
State CA
ZIP 92544
Phone 951 925-2571
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2024
Certificate Expiration Date 1/2/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SANYASI R. GANTA

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