CLIA lab
CLIA 05D0558842: Providence Facey Medical Foundation-
Mission Hills, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0558842 belongs to Providence Facey Medical Foundation- in Mission Hills, CA.
Certificate of Compliance, effective October 4, 2022, expiration date September 30, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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 Compliance
- Certificate effective
- October 4, 2022
- Certificate expiration
- September 30, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Other
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 5
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0558842
- Lab name
- Providence Facey Medical Foundation-
- Additional name
- Mission Hills Urgent Care
- Address
- 11333 Sepulveda Blvd, Ste 100, Mission Hills, CA 91345
- Phone
- (661) 481-2442
- Fax
- (661) 481-2010
Annual test volume the lab reported
- Waived tests
- 13,264
- Other nonwaived tests
- 34,539
- Total
- 47,803
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Mission Hills, CA
- Agile Occupational Medicine, PCCertificate of Waiver, Physician office05D2315285
- Anmar Home Helath Care IncCertificate of Waiver, Home health agency05D2303468
- Ararat Nursing FacilityCertificate of Waiver, Skilled nursing or nursing facility05D2081415
- Arion Congregate Home IncCertificate of Waiver, Skilled nursing or nursing facility05D2333361
- Assisted Home CareCertificate of Waiver, Home health agency05D0938271
- Assisted Home Care IncCertificate of Waiver, Hospice05D2310591
- Blue Sky Home Health, IncCertificate of Waiver, Home health agency05D1090944
- Easi Home Health Care, Inc.Certificate of Waiver, Home health agency05D2288367
- Family Planning Associates MedicalCertificate of Compliance, Physician office05D0668296
- Frank R Lusher MD IncCertificate of Compliance, Physician office05D0864512
Related
Questions
What is the CLIA number for Providence Facey Medical Foundation- in Mission Hills?
05D0558842, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Facey Medical Foundation- hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D0558842 expire?
The CMS file lists September 30, 2026 as the certificate expiration date; the certificate took effect October 4, 2022.