CLIA lab

CLIA 05D0999277: Evergreen Home Health Inc

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

CLIA number 05D0999277 belongs to Evergreen Home Health Inc in Cerritos, CA.

Certificate of Waiver, effective May 8, 2026, expires May 7, 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
May 8, 2026
Certificate expiration
May 7, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 8, 2002
Facility type
Home health agency
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
05D0999277
Lab name
Evergreen Home Health Inc
Address
17215 Studebaker Rd Ste 270, Cerritos, CA 90703
Phone
(562) 860-9444
Fax
(562) 860-8334

Annual test volume the lab reported

Waived tests
200

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

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Related

Questions

What is the CLIA number for Evergreen Home Health Inc in Cerritos?

05D0999277, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Evergreen Home Health Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0999277 expire?

The CMS file lists May 7, 2028 as the certificate expiration date; the certificate took effect May 8, 2026.

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