CLIA lab

CLIA 05D0897002: Legacy Healthcare Center

Pasadena, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D0897002 belongs to Legacy Healthcare Center in Pasadena, CA.

Certificate of Waiver, effective August 13, 2026, expires August 12, 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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
August 13, 2026
Certificate expiration
August 12, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 25, 1995
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
05D0897002
Lab name
Legacy Healthcare Center
Address
1570 N Fair Oaks Ave, Pasadena, CA 91103
Phone
(626) 798-0558
Fax
(626) 344-8962

Annual test volume the lab reported

Waived tests
2,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Care facility at this address

Other labs in Pasadena, CA

Related

Questions

What is the CLIA number for Legacy Healthcare Center in Pasadena?

05D0897002, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Legacy Healthcare Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0897002 expire?

The CMS file lists August 12, 2028 as the certificate expiration date; the certificate took effect August 13, 2026.

Try it on your own data today.

Free to start. Most teams are using it the same day.