05D1037419 CLIA NUMBER - HOSPICE CARE OF THE VALLEY INC

Laboratory Demographics

CLIA Number: 05D1037419

Facility Name: HOSPICE CARE OF THE VALLEY INC

Facility Address:
1176 ROADRUNNER WAY
SIMI VALLEY, CA
ZIP 93065
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Facility Phone Number: 805 520-7055

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1295951622

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D1037419
LAB Type	Hospice
Facility Name	HOSPICE CARE OF THE VALLEY INC
Street	1176 ROADRUNNER WAY
City	SIMI VALLEY
State	CA
ZIP	93065
Phone	805 520-7055
CertificateType	4
CertificateEffectiveDate	2/24/2023
CertificateExpirationDate	2/23/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024