05D2083166 CLIA NUMBER - SIMI VALLEY CARE HOME INC

Laboratory Demographics

  • CLIA Code: 05D2083166
  • Facility Name: SIMI VALLEY CARE HOME INC
  • Facility Address: 1544 ELVADO DR
    SIMI VALLEY, CA
    ZIP 93065
  • Facility Phone: 805 577-7711
  • Facility Type: Other - CLHF
  • Facility Type: Waiver
  • Lab Director: HOSSEIN BABAALI
  • NPI Number: 1326449281
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2083166
LAB Type Other - CLHF
Facility Name SIMI VALLEY CARE HOME INC
Street 1544 ELVADO DR
City SIMI VALLEY
State CA
ZIP 93065
Phone 805 577-7711
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2024
Certificate Expiration Date 8/27/2026
Facility Type Other - CLHF
Lab Director HOSSEIN BABAALI

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