CLIA lab
CLIA 05D1012338: Provident Home Health Inc
Glendale, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1012338 belongs to Provident Home Health Inc in Glendale, CA.
Certificate of Waiver, effective May 8, 2023, expiration date May 7, 2025.
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
- May 8, 2023
- Certificate expiration
- May 7, 2025
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 8, 2003
- 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
- 05D1012338
- Lab name
- Provident Home Health Inc
- Address
- 725 E Broadway Ste 201, Glendale, CA 91205
- Phone
- (818) 241-9500
- Fax
- (818) 241-9509
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Glendale, CA
- 21st Century Home Health IncCertificate of Waiver, Home health agency05D2202317
- A & P Home Health, IncCertificate of Waiver, Home health agency05D1098714
- A To Z Home Health, IncCertificate of Waiver, Home health agency05D1088605
- A&e Home Health Care IncCertificate of Waiver, Home health agency05D2315987
- Aaa Hospice Care & Nursing IncCertificate of Waiver, Hospice05D2313109
- Above Care Home HealthCertificate of Waiver, Independent05D2168402
- Advance Care Home Health Agency IncCertificate of Waiver, Home health agency05D2220052
- Advanced Global Healthcare IncCertificate of Waiver, Hospice05D2240620
- Adventist Health Glendale LaboratoryCertificate of Accreditation, Hospital05D0059868
- Adventist Health Glendale LaboratoryCertificate of Waiver, Hospital05D0874231
Related
Questions
What is the CLIA number for Provident Home Health Inc in Glendale?
05D1012338, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Provident Home Health Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1012338 expire?
The CMS file lists May 7, 2025 as the certificate expiration date; the certificate took effect May 8, 2023.