05D0992740 CLIA NUMBER - TENDER LOVING CARE HOME HOSPICE

Laboratory Demographics

  • CLIA Code: 05D0992740
  • Facility Name: TENDER LOVING CARE HOME HOSPICE
  • Facility Address: 5400 ATLANTIS CT
    MOORPARK, CA
    ZIP 93021
  • Facility Phone: 805 517-1620
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: EDWARD PORTNOY
  • NPI Number: 1518949874
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D0992740
LAB Type Hospice
Facility Name TENDER LOVING CARE HOME HOSPICE
Street 5400 ATLANTIS CT
City MOORPARK
State CA
ZIP 93021
Phone 805 517-1620
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2023
Certificate Expiration Date 10/23/2025
Facility Type Hospice
Lab Director EDWARD PORTNOY

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