CLIA lab

CLIA 05D1024942: Adventist Health Simi Valley

Simi Valley, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D1024942 belongs to Adventist Health Simi Valley in Simi Valley, CA.

Certificate of Waiver, effective April 26, 2026, expires April 25, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
April 26, 2026
Certificate expiration
April 25, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 26, 2004
Facility type
Hospital
Ownership (control type)
Religious affiliation
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D1024942
Lab name
Adventist Health Simi Valley
Address
2975 N Sycamore Drive, Simi Valley, CA 93065
Phone
(805) 955-6350
Fax
(805) 582-1754

Annual test volume the lab reported

Waived tests
40

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Care facility at this address

Other labs in Simi Valley, CA

Related

Questions

What is the CLIA number for Adventist Health Simi Valley in Simi Valley?

05D1024942, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Adventist Health Simi Valley hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1024942 expire?

The CMS file lists April 25, 2028 as the certificate expiration date; the certificate took effect April 26, 2026.

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