05D2167557 CLIA NUMBER - LOS ROBLES HEALTHCARE

Laboratory Demographics

  • CLIA Code: 05D2167557
  • Facility Name: LOS ROBLES HEALTHCARE
  • Facility Address: 509 MARIN ST, STE 233
    THOUSAND OAKS, CA
    ZIP 91360
  • Facility Phone: 949 252-2640
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ADAM B. SHERMAN
  • NPI Number: 1538598131
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2167557
LAB Type Hospice
Facility Name LOS ROBLES HEALTHCARE
Street 509 MARIN ST, STE 233
City THOUSAND OAKS
State CA
ZIP 91360
Phone 949 252-2640
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2025
Certificate Expiration Date 6/10/2027
Facility Type Hospice
Lab Director ADAM B. SHERMAN

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