CLIA lab
CLIA 05D0553661: Providence Health System -Southern California DBA
San Pedro, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0553661 belongs to Providence Health System -Southern California DBA in San Pedro, CA.
Certificate of Accreditation, effective February 28, 2025, expires February 27, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Accreditation
- Certificate effective
- February 28, 2025
- Certificate expiration
- February 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 13, 1993
- Facility type
- Hospital
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Accrediting organizations
- College of American Pathologists (CAP)
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0553661
- Lab name
- Providence Health System -Southern California DBA
- Additional name
- Providence Little Co of Mary Med CTR San Pedro Lab
- Address
- 1300 W Seventh St, San Pedro, CA 90732
- Phone
- (310) 514-5290
- Fax
- (310) 514-5348
Annual test volume the lab reported
- Waived tests
- 115,013
- Provider-performed microscopy tests
- 11,364
- Tests under accreditation
- 853,481
- Total
- 979,858
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in San Pedro, CA
- Coastwise Integrated Recovery IncCertificate of Waiver, Other05D2298389
- Cor Healthcare Medical AssociatesCertificate of Waiver, Physician office05D0553670
- Csi Medical GroupCertificate of Compliance, Physician office05D0686492
- Francisco K Correa MD IncCertificate of Waiver, Physician office05D2157566
- Fred Brown Recovery Services IncCertificate of Waiver, Comprehensive outpatient rehab facility05D2125649
- Hanaa Hanna MD IncCertificate of Waiver, Physician office05D1074610
- Harbor Community ClinicCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D0698919
- Healthcare Partners AffiliatesCertificate for Provider-Performed Microscopy Procedures, Physician office05D0914886
- House of HopeCertificate of Waiver, Other05D2116471
- House of HopeCertificate of Waiver, Other05D2185987
Related
Questions
What is the CLIA number for Providence Health System -Southern California DBA in San Pedro?
05D0553661, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Health System -Southern California DBA hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 05D0553661 expire?
The CMS file lists February 27, 2027 as the certificate expiration date; the certificate took effect February 28, 2025.