05D2110014 CLIA NUMBER - AMERICUS HOSPICE INC

Laboratory Demographics

  • CLIA Code: 05D2110014
  • Facility Name: AMERICUS HOSPICE INC
  • Facility Address: 5924 E LOS ANGELES AVE STE T
    SIMI VALLEY, CA
    ZIP 93063
  • Facility Phone: 805 520-5863
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: LUDMILA ELGOURT MD
  • NPI Number: 1063896835
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2110014
LAB Type Hospice
Facility Name AMERICUS HOSPICE INC
Street 5924 E LOS ANGELES AVE STE T
City SIMI VALLEY
State CA
ZIP 93063
Phone 805 520-5863
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Hospice
Lab Director LUDMILA ELGOURT MD

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