CLIA lab
CLIA 05D0896728: Centro Medico Inc
Hawthorne, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0896728 belongs to Centro Medico Inc in Hawthorne, CA.
Certificate of Waiver, effective January 18, 2025, expires January 17, 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
- January 18, 2025
- Certificate expiration
- January 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 18, 1995
- 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
- 05D0896728
- Lab name
- Centro Medico Inc
- Address
- 11946 S Hawthorne Boulevard, Hawthorne, CA 90250
- Phone
- (310) 675-1136
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Hawthorne, CA
- Ace Medical GroupCertificate of Waiver, Physician office05D0954191
- Acknowledge Home Health IncCertificate of Waiver, Home health agency05D1018472
- Ajay G Meka MD IncCertificate of Waiver, Physician office05D0693906
- Ali Awada, MD, IncCertificate of Waiver, Physician office05D1046690
- Ananias E Ebilane MDCertificate of Waiver, Physician office05D0547880
- Behavioral Health ServicesCertificate of Waiver, Federally qualified health center05D2110453
- Camino HealthcareCertificate of Waiver, Skilled nursing or nursing facility05D0885481
- College Medical Center Hawthorne CampusCertificate of Waiver, Hospital05D2207151
- Continuity Providers Healthcare IncCertificate of Waiver, Home health agency05D2034849
- DR Jamie A Lipeles A Professional Medical CorpCertificate of Waiver, Physician office05D2203047
Related
Questions
What is the CLIA number for Centro Medico Inc in Hawthorne?
05D0896728, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Centro Medico Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0896728 expire?
The CMS file lists January 17, 2027 as the certificate expiration date; the certificate took effect January 18, 2025.