05D0978587 CLIA NUMBER - BROOKDALE CAMARILLO

Laboratory Demographics

  • CLIA Code: 05D0978587
  • Facility Name: BROOKDALE CAMARILLO
  • Facility Address: 6000 SANTA ROSA RD HEALTH CARE UNIT SNF
    CAMARILLO, CA
    ZIP 93012
  • Facility Phone: 805 388-8086
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DANIEL B. TAVARI, DO
  • NPI Number: 1952716375
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0978587
LAB Type Assisted Living Facility
Facility Name BROOKDALE CAMARILLO
Street 6000 SANTA ROSA RD HEALTH CARE UNIT SNF
City CAMARILLO
State CA
ZIP 93012
Phone 805 388-8086
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2024
Certificate Expiration Date 9/27/2026
Facility Type Assisted Living Facility
Lab Director DANIEL B. TAVARI, DO

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