CLIA lab
CLIA 05D0892700: Scpmg Main Street Health Pavilion
Carson, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0892700 belongs to Scpmg Main Street Health Pavilion in Carson, CA.
Certificate of Waiver, effective August 25, 2026, expires August 24, 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
- August 25, 2026
- Certificate expiration
- August 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 4, 1994
- Facility type
- Health maintenance organization
- 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
- 05D0892700
- Lab name
- Scpmg Main Street Health Pavilion
- Address
- 23621 South Main Street, Carson, CA 90745
- Phone
- (310) 517-2636
- Fax
- (310) 503-6532
Annual test volume the lab reported
- Waived tests
- 304
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Bma Carson Community DialysisCertificate of Waiver, End stage renal disease dialysis facility05D0553811
- C & C Carson Adult Day Hlth Care CTRCertificate of Waiver, Other05D0983449
- California State University DominguezCertificate for Provider-Performed Microscopy Procedures, School or student health service05D0879804
- 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
Related
Questions
What is the CLIA number for Scpmg Main Street Health Pavilion in Carson?
05D0892700, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Scpmg Main Street Health Pavilion hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0892700 expire?
The CMS file lists August 24, 2028 as the certificate expiration date; the certificate took effect August 25, 2026.