05D1069870 CLIA NUMBER - PEARL HOME EPIPHANY CARE HOMES INC

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Field Name	Field Value
CLIA Number	05D1069870
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	PEARL HOME EPIPHANY CARE HOMES INC
Street	1910 RHONDA ST
City	OXNARD
State	CA
ZIP	93030
Phone	805 988-6176
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