CLIA lab
CLIA 05D0879804: California State University Dominguez
Carson, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0879804 belongs to California State University Dominguez in Carson, CA.
Certificate for Provider-Performed Microscopy Procedures, effective September 24, 2026, expires September 23, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- September 24, 2026
- Certificate expiration
- September 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 2, 1993
- Facility type
- School or student health service
- Ownership (control type)
- Government, state
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0879804
- Lab name
- California State University Dominguez
- Additional name
- Hills Student Health Center Lab
- Address
- 1000 E Victoria St, Student Health Center Lab, Carson, CA 90747
- Phone
- (310) 243-3629
- Fax
- (310) 928-7142
Annual test volume the lab reported
- Waived tests
- 2,500
- Provider-performed microscopy tests
- 100
- Total
- 2,600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Carson, CA
- Argent Medical Group, IncCertificate of Waiver, Physician office05D0953280
- Bma Carson Community DialysisCertificate of Waiver, End stage renal disease dialysis facility05D0553811
- C & C Carson Adult Day Hlth Care CTRCertificate of Waiver, Other05D0983449
- Careonsite - Tesoro CarsonCertificate of Waiver, Industrial05D1086497
- Carepointe Home Health Services IncCertificate of Waiver, Home health agency05D2005954
- Caringminds Services, IncCertificate of Waiver, Home health agency05D2033030
- Carson DialysisCertificate of Waiver, End stage renal disease dialysis facility05D0925339
- Carson Healthcare Services LLCCertificate of Waiver, Home health agency05D2150334
- Carson Pavilion DialysisCertificate of Waiver, End stage renal disease dialysis facility05D2161614
- Carson-Avalon Dialysis, LLCCertificate of Waiver, End stage renal disease dialysis facility05D2024239
Related
Questions
What is the CLIA number for California State University Dominguez in Carson?
05D0879804, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does California State University Dominguez hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0879804 expire?
The CMS file lists September 23, 2028 as the certificate expiration date; the certificate took effect September 24, 2026.