05D0977192 CLIA NUMBER - ASSISTED HOME CARE

Laboratory Demographics

  • CLIA Code: 05D0977192
  • Facility Name: ASSISTED HOME CARE
  • Facility Address: 72 MOODY COURT STE 200
    THOUSAND OAKS, CA
    ZIP 91360
  • Facility Phone: 805 371-9988
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: WILLIAM RAJALA MD
  • NPI Number: 1659326825
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D0977192
LAB Type Home Health Agency
Facility Name ASSISTED HOME CARE
Street 72 MOODY COURT STE 200
City THOUSAND OAKS
State CA
ZIP 91360
Phone 805 371-9988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Home Health Agency
Lab Director WILLIAM RAJALA MD

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This page was last updated on: 9/29/2025