05D2258081 CLIA NUMBER - SUNSHINE LOVELY CONGREGATE

Laboratory Demographics

  • CLIA Code: 05D2258081
  • Facility Name: SUNSHINE LOVELY CONGREGATE
  • Facility Address: 9 E GAINSBOROUGH RD
    THOUSAND OAKS, CA
    ZIP 91360
  • Facility Phone: 805 870-4682
  • Facility Type: Other - CLHF
  • Facility Type: Waiver
  • Lab Director: EDGARDO FALCON
  • NPI Number: 1669028072
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2258081
LAB Type Other - CLHF
Facility Name SUNSHINE LOVELY CONGREGATE
Street 9 E GAINSBOROUGH RD
City THOUSAND OAKS
State CA
ZIP 91360
Phone 805 870-4682
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2024
Certificate Expiration Date 4/14/2026
Facility Type Other - CLHF
Lab Director EDGARDO FALCON

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