CLIA lab

CLIA 05D1070885: Wavecrest Home

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

CLIA number 05D1070885 belongs to Wavecrest Home in Simi Valley, CA.

Certificate of Waiver, effective August 26, 2026, expires August 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
August 26, 2026
Certificate expiration
August 25, 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
05D1070885
Lab name
Wavecrest Home
Address
2929 Texas Ave, Simi Valley, CA 93063
Phone
(805) 520-3441
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

Related

Questions

What is the CLIA number for Wavecrest Home in Simi Valley?

05D1070885, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Wavecrest Home hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1070885 expire?

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

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