05D2163245 CLIA NUMBER - SERENITY HOME CARE FACILITIES, LLC

Laboratory Demographics

  • CLIA Code: 05D2163245
  • Facility Name: SERENITY HOME CARE FACILITIES, LLC
  • Facility Address: 25654 PAPILION CT
    MENIFEE, CA
    ZIP 92585
  • Facility Phone: 951 878-7075
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: CARLOS DAYRIT
  • NPI Number: 1518436773
  • Taxonomy: 163W00000X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 05D2163245
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name SERENITY HOME CARE FACILITIES, LLC
Street 25654 PAPILION CT
City MENIFEE
State CA
ZIP 92585
Phone 951 878-7075
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director CARLOS DAYRIT

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