05D1069845 CLIA NUMBER - SEASHORE EPIPHANY CARE HOMES INC

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CLIA Record

Field Name Field Value
CLIA Number 05D1069845
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name SEASHORE EPIPHANY CARE HOMES INC
Street 1260 INDIGO PLACE
City OXNARD
State CA
ZIP 93030
Phone 805 983-3845
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director ABDO MEMAR-ZIA

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