05D2156918 CLIA NUMBER - FOR SENIOR CARE LLC DBA CALIFORNIA CONGREGATE LIVING

Laboratory Demographics

  • CLIA Code: 05D2156918
  • Facility Name: FOR SENIOR CARE LLC DBA CALIFORNIA CONGREGATE LIVING
  • Facility Address: 2333 YOSEMITE AVE
    SIMI VALLEY, CA
    ZIP 93063
  • Facility Phone: 805 285-7858
  • Facility Type: Other - CONGREGATE LIVING HEALTHC
  • Facility Type: Waiver
  • Lab Director: SIAMAK P. ETEHAD
  • NPI Number: 1477062412
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2156918
LAB Type Other - CONGREGATE LIVING HEALTHC
Facility Name FOR SENIOR CARE LLC DBA CALIFORNIA CONGREGATE LIVING
Street 2333 YOSEMITE AVE
City SIMI VALLEY
State CA
ZIP 93063
Phone 805 285-7858
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Other - CONGREGATE LIVING HEALTHC
Lab Director SIAMAK P. ETEHAD

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