CLIA lab
CLIA 05D0940182: Usrc Pacific Gateway, LLC
Gardena, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0940182 belongs to Usrc Pacific Gateway, LLC in Gardena, CA.
Certificate of Waiver, effective February 5, 2026, expires February 4, 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
- February 5, 2026
- Certificate expiration
- February 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 5, 1998
- Facility type
- End stage renal disease dialysis 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
- 05D0940182
- Lab name
- Usrc Pacific Gateway, LLC
- Additional name
- DBA U.S. Renal Care Pacific Gateway Dialysis
- Address
- 1149 W 190th St Ste 1004, Gardena, CA 90248
- Phone
- (310) 965-0830
- Fax
- (310) 965-0838
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.
Care facility at this address
- USRC Pacific GatewayCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Usrc Pacific Gateway, LLC in Gardena?
05D0940182, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Usrc Pacific Gateway, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0940182 expire?
The CMS file lists February 4, 2028 as the certificate expiration date; the certificate took effect February 5, 2026.