CLIA lab
CLIA 05D0920807: Providence Health System - Southern California DBA
Burbank, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0920807 belongs to Providence Health System - Southern California DBA in Burbank, CA.
Certificate of Waiver, effective October 10, 2024, expiration date October 9, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 10, 2024
- Certificate expiration
- October 9, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 10, 1996
- Facility type
- Home health agency
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0920807
- Lab name
- Providence Health System - Southern California DBA
- Additional name
- Providence Home Health La County North
- Address
- 250 E Olive Ave Ste 202, Burbank, CA 91502
- Phone
- (747) 327-4070
- Fax
- (855) 592-1166
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.
Affiliated CLIA numbers
Other labs in Burbank, CA
- 21st Century Diagnostic LaboratoryCertificate of Compliance, Independent05D0956168
- A Center for VisioncareCertificate of Waiver, Physician office05D2045611
- A&j Home Health Care IncCertificate of Waiver, Home health agency05D2292154
- A1 Unlimited Home Health Care, IncCertificate of Waiver, Home health agency05D2013559
- Aaa Home Health Services IncCertificate of Waiver, Home health agency05D1033071
- Aaron J Epstein, MD IncCertificate of Waiver, Physician office05D2319466
- Accumed Laboratories LLCCertificate of Registration, Independent05D2258383
- Active Hospice Care IncCertificate of Waiver, Hospice05D1021935
- Acuity LabsCertificate of Waiver, Independent05D2344569
- Adk Home Health IncCertificate of Waiver, Home health agency05D2261196
Related
Questions
What is the CLIA number for Providence Health System - Southern California DBA in Burbank?
05D0920807, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Health System - Southern California DBA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0920807 expire?
The CMS file lists October 9, 2026 as the certificate expiration date; the certificate took effect October 10, 2024.