05D1069847 CLIA NUMBER - STARFISH HOME EPIPHANY CARE HOMES INC

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Field Name	Field Value
CLIA Number	05D1069847
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	STARFISH HOME EPIPHANY CARE HOMES INC
Street	994 PHOENIX AVE
City	VENTURA
State	CA
ZIP	93004
Phone	805 659-1218
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