CLIA lab

CLIA 05D0918316: South Pasadena Care Center

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

CLIA number 05D0918316 belongs to South Pasadena Care Center in South Pasadena, CA.

Certificate of Waiver, effective January 31, 2026, expires January 30, 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
January 31, 2026
Certificate expiration
January 30, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 5, 1996
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
05D0918316
Lab name
South Pasadena Care Center
Address
904 Mission Street, South Pasadena, CA 91030
Phone
(626) 399-0358
Fax
(626) 460-6097

Annual test volume the lab reported

Waived tests
100

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 South Pasadena, CA

Related

Questions

What is the CLIA number for South Pasadena Care Center in South Pasadena?

05D0918316, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does South Pasadena Care Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0918316 expire?

The CMS file lists January 30, 2028 as the certificate expiration date; the certificate took effect January 31, 2026.

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