CLIA lab

CLIA 05D1072531: Care Provider Home Health Inc

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

CLIA number 05D1072531 belongs to Care Provider Home Health Inc in Simi Valley, CA.

Certificate of Waiver, effective August 17, 2025, expires August 16, 2027.

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 17, 2025
Certificate expiration
August 16, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 17, 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
05D1072531
Lab name
Care Provider Home Health Inc
Additional name
DBA A Flying Eagle Home Health
Address
2775 Tapo St, #101, Simi Valley, CA 93063
Phone
(805) 582-9389
Fax
(805) 582-0632

Annual test volume the lab reported

Waived tests
50

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

Other labs in Simi Valley, CA

Related

Questions

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

05D1072531, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Care Provider Home Health Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1072531 expire?

The CMS file lists August 16, 2027 as the certificate expiration date; the certificate took effect August 17, 2025.

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