CLIA lab
CLIA 05D2079954: Guardian Angel Hospice, Inc
Simi Valley, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2079954 belongs to Guardian Angel Hospice, Inc in Simi Valley, CA.
Certificate of Waiver, effective June 27, 2026, expires June 26, 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
- June 27, 2026
- Certificate expiration
- June 26, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 27, 2014
- Facility type
- Hospice
- 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
- 05D2079954
- Lab name
- Guardian Angel Hospice, Inc
- Address
- 980 Enchanted Way, Ste 210, Simi Valley, CA 93065
- Phone
- (805) 500-8079
- Fax
- (805) 334-7164
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Guardian Angel Hospice, IncCMS Care Compare ratings for the facility at the same street address
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Questions
What is the CLIA number for Guardian Angel Hospice, Inc in Simi Valley?
05D2079954, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Guardian Angel Hospice, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2079954 expire?
The CMS file lists June 26, 2028 as the certificate expiration date; the certificate took effect June 27, 2026.