CLIA lab
CLIA 05D0952854: Venice South Bay Gardena
Gardena, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0952854 belongs to Venice South Bay Gardena in Gardena, CA.
Certificate for Provider-Performed Microscopy Procedures, effective October 20, 2026, expires October 19, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- October 20, 2026
- Certificate expiration
- October 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 20, 1998
- Facility type
- Federally qualified health center
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0952854
- Lab name
- Venice South Bay Gardena
- Address
- 742 W Gardena Blvd, Gardena, CA 90247
- Phone
- (310) 664-7667
Annual test volume the lab reported
- Waived tests
- 2,000
- Provider-performed microscopy tests
- 2,000
- Total
- 4,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Gardena, CA
- Abraham Golbari MDCertificate of Waiver, Physician office05D1007582
- Adel S Metry MDCertificate of Waiver, Physician office05D1009593
- Anjanette Hogan MD IncCertificate for Provider-Performed Microscopy Procedures, Physician office05D1061260
- Annette A Coronel-Perey, MD IncCertificate of Waiver, Physician office05D0976874
- Clear Recovery CenterCertificate of Waiver, Other05D2307823
- Clear Recovery Center - 1925 W 146th STCertificate of Waiver, Other05D2322374
- Clear Recovery Center, LLCCertificate of Waiver, Other05D2307475
- Clear View Convalescent CenterCertificate of Waiver, Skilled nursing or nursing facility05D2054386
- Clear View Sanitarium, IncCertificate of Waiver, Skilled nursing or nursing facility05D0866691
- Coastal Asian Pacific Islander Family MentalCertificate of Waiver, Community clinic05D2202361
Related
Questions
What is the CLIA number for Venice South Bay Gardena in Gardena?
05D0952854, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Venice South Bay Gardena hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0952854 expire?
The CMS file lists October 19, 2028 as the certificate expiration date; the certificate took effect October 20, 2026.