45D2312280 CLIA NUMBER - SERAPHIC HOMECARE LLC

Laboratory Demographics

  • CLIA Code: 45D2312280
  • Facility Name: SERAPHIC HOMECARE LLC
  • Facility Address: 5036 RANDOLPH STREET
    PLANO, TX
    ZIP 75074
  • Facility Phone: (425) 221-3166
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: FIDELIA T. UKHUREBOR
  • NPI Number: 1497509186
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2312280
LAB Type Home Health Agency
Facility Name SERAPHIC HOMECARE LLC
Street 5036 RANDOLPH STREET
City PLANO
State TX
ZIP 75074
Phone 4252213166
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Home Health Agency
Lab Director FIDELIA T. UKHUREBOR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026