05D0978365 CLIA NUMBER - LOS ROBLES HOMECARE SERVICES INC

Laboratory Demographics

  • CLIA Code: 05D0978365
  • Facility Name: LOS ROBLES HOMECARE SERVICES INC
  • Facility Address: 68 LONG COURT SUITE 2C
    THOUSAND OAKS, CA
    ZIP 91361
  • Facility Phone: 805 777-7234
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: RICHARD P. DHANES MD
  • NPI Number: 1982602496
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D0978365
LAB Type Home Health Agency
Facility Name LOS ROBLES HOMECARE SERVICES INC
Street 68 LONG COURT SUITE 2C
City THOUSAND OAKS
State CA
ZIP 91361
Phone 805 777-7234
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Home Health Agency
Lab Director RICHARD P. DHANES MD

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