CLIA lab

CLIA 05D2294565: Simi Valley Congregate Living Inc

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

CLIA number 05D2294565 belongs to Simi Valley Congregate Living Inc in Simi Valley, CA.

Certificate of Waiver, effective November 28, 2025, expires November 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
November 28, 2025
Certificate expiration
November 27, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 28, 2023
Facility type
Skilled nursing or nursing facility
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
05D2294565
Lab name
Simi Valley Congregate Living Inc
Address
2053 Shelby Lane, Simi Valley, CA 93065
Phone
(818) 634-6328
Fax
(888) 833-2881

Annual test volume the lab reported

Waived tests
100

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 Simi Valley Congregate Living Inc in Simi Valley?

05D2294565, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Simi Valley Congregate Living Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2294565 expire?

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

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