05D2073716 CLIA NUMBER - INNERJOY HOSPICE CARE, INC

Laboratory Demographics

  • CLIA Code: 05D2073716
  • Facility Name: INNERJOY HOSPICE CARE, INC
  • Facility Address: 1965 YOSEMITE AVE, STE 115
    SIMI VALLEY, CA
    ZIP 93063
  • Facility Phone: 805 522-5010
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: VIOLETA B. VICENCIO
  • NPI Number: 1487089579
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2073716
LAB Type Hospice
Facility Name INNERJOY HOSPICE CARE, INC
Street 1965 YOSEMITE AVE, STE 115
City SIMI VALLEY
State CA
ZIP 93063
Phone 805 522-5010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Hospice
Lab Director VIOLETA B. VICENCIO

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