CLIA lab
CLIA 05D0666609: San Pedro Pediatric Medical Group Inc
San Pedro, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0666609 belongs to San Pedro Pediatric Medical Group Inc in San Pedro, CA.
Certificate of Waiver, effective July 31, 2025, expires July 30, 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 Waiver
- Certificate effective
- July 31, 2025
- Certificate expiration
- July 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0666609
- Lab name
- San Pedro Pediatric Medical Group Inc
- Address
- 1294 West 6th Street Ste 102, San Pedro, CA 90731
- Phone
- (310) 832-0616
- Fax
- (310) 832-6913
Annual test volume the lab reported
- Waived tests
- 2,500
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 San Pedro Pediatric Medical Group Inc in San Pedro?
05D0666609, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does San Pedro Pediatric Medical Group Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0666609 expire?
The CMS file lists July 30, 2027 as the certificate expiration date; the certificate took effect July 31, 2025.