CLIA lab
CLIA 05D0724482: Pacific Villa, Inc
Long Beach, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0724482 belongs to Pacific Villa, Inc in Long Beach, CA.
Certificate of Waiver, effective September 1, 2026, expires August 31, 2028.
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
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 13, 1993
- Facility type
- Skilled nursing or nursing facility
- 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
- 05D0724482
- Lab name
- Pacific Villa, Inc
- Address
- 3501 Cedar Avenue, Long Beach, CA 90807
- Phone
- (562) 595-1731
- Fax
- (562) 424-6065
Annual test volume the lab reported
- Waived tests
- 450
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Pacific Villa, IncCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Pacific Villa, Inc in Long Beach?
05D0724482, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pacific Villa, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0724482 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.