CLIA lab

CLIA 05D2059652: Tri Valley Hospice Care Inc

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

CLIA number 05D2059652 belongs to Tri Valley Hospice Care Inc in Chatsworth, CA.

Certificate of Waiver, effective May 28, 2025, expires May 27, 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
May 28, 2025
Certificate expiration
May 27, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 28, 2013
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
05D2059652
Lab name
Tri Valley Hospice Care Inc
Address
10120 Canoga Ave Ste 100, Chatsworth, CA 91311
Phone
(818) 773-0122
Fax
(818) 456-1257

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.

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Questions

What is the CLIA number for Tri Valley Hospice Care Inc in Chatsworth?

05D2059652, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Tri Valley Hospice Care Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2059652 expire?

The CMS file lists May 27, 2027 as the certificate expiration date; the certificate took effect May 28, 2025.

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