CLIA lab
CLIA 05D2296128: Ivy Park at Wood Ranch
Simi Valley, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2296128 belongs to Ivy Park at Wood Ranch in Simi Valley, CA.
Certificate of Waiver, effective December 21, 2025, expires December 20, 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
- December 21, 2025
- Certificate expiration
- December 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 21, 2023
- Facility type
- Assisted living 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
- 05D2296128
- Lab name
- Ivy Park at Wood Ranch
- Address
- 190 Tierra Rejada Rd, Simi Valley, CA 93065
- Phone
- (530) 227-5738
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Simi Valley, CA
- 31st State Medical CorpCertificate of Accreditation, Physician office05D2297174
- A - 1 Home Health Services IncCertificate of Waiver, Home health agency05D0993671
- Abdul Nawabi, MD IncCertificate for Provider-Performed Microscopy Procedures, Physician office05D0981292
- Absolute Comfort Home Healthcare, IncCertificate of Waiver, Home health agency05D2319123
- Advanced Adult Day Health Care CenterCertificate of Waiver, Ambulance05D1002037
- Adventist Health Physicians NetworkCertificate for Provider-Performed Microscopy Procedures, Physician office05D0971038
- Adventist Health Physicians NetworkCertificate for Provider-Performed Microscopy Procedures, Physician office05D0981293
- Adventist Health Simi ValleyCertificate of Accreditation, Hospital05D0584279
- Adventist Health Simi ValleyCertificate of Waiver, Hospital05D1024942
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D0973349
Related
Questions
What is the CLIA number for Ivy Park at Wood Ranch in Simi Valley?
05D2296128, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ivy Park at Wood Ranch hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2296128 expire?
The CMS file lists December 20, 2027 as the certificate expiration date; the certificate took effect December 21, 2025.