CLIA lab

CLIA 05D1065473: Divine Care Home Health Services Inc

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

CLIA number 05D1065473 belongs to Divine Care Home Health Services Inc in Simi Valley, CA.

Certificate of Waiver, effective August 1, 2026, expires July 31, 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
August 1, 2026
Certificate expiration
July 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 1, 2007
Facility type
Home health agency
Ownership (control type)
Proprietary
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
05D1065473
Lab name
Divine Care Home Health Services Inc
Address
1716 Erringer Rd, Ste 106, Simi Valley, CA 93065
Phone
(805) 578-9481
Fax
(805) 578-9486

Annual test volume the lab reported

Waived tests
20

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

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Related

Questions

What is the CLIA number for Divine Care Home Health Services Inc in Simi Valley?

05D1065473, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Divine Care Home Health Services Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1065473 expire?

The CMS file lists July 31, 2028 as the certificate expiration date; the certificate took effect August 1, 2026.

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