CLIA lab
CLIA 05D1070884: Surfrider Home
Simi Valley, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1070884 belongs to Surfrider Home in Simi Valley, CA.
Certificate of Waiver, effective September 8, 2026, expires September 7, 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
- September 8, 2026
- Certificate expiration
- September 7, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 12, 2007
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 6
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1070884
- Lab name
- Surfrider Home
- Address
- 2127 N Justin Ave, Simi Valley, CA 93065
- Phone
- (805) 583-5160
- Fax
- (805) 485-8111
Annual test volume the lab reported
- Waived tests
- 730
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Simi Valley, CA
- 31st State Medical CorpCertificate of Accreditation, Physician office05D2297174
- A - 1 Home Health Services IncCertificate of Waiver, Home health agency05D0993671
- Abdul Nawabi, MD IncCertificate for Provider-Performed Microscopy Procedures, Physician office05D0981292
- Absolute Comfort Home Healthcare, IncCertificate of Waiver, Home health agency05D2319123
- Advanced Adult Day Health Care CenterCertificate of Waiver, Ambulance05D1002037
- Adventist Health Physicians NetworkCertificate for Provider-Performed Microscopy Procedures, Physician office05D0971038
- Adventist Health Physicians NetworkCertificate for Provider-Performed Microscopy Procedures, Physician office05D0981293
- Adventist Health Simi ValleyCertificate of Accreditation, Hospital05D0584279
- Adventist Health Simi ValleyCertificate of Waiver, Hospital05D1024942
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D0973349
Related
Questions
What is the CLIA number for Surfrider Home in Simi Valley?
05D1070884, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Surfrider Home hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1070884 expire?
The CMS file lists September 7, 2028 as the certificate expiration date; the certificate took effect September 8, 2026.