CLIA lab
CLIA 05D1012478: Arroyo Verde Healthcare LLC DBA Grandcare Home
Pasadena, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1012478 belongs to Arroyo Verde Healthcare LLC DBA Grandcare Home in Pasadena, CA.
Certificate of Waiver, effective May 12, 2025, expires May 11, 2027.
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 12, 2025
- Certificate expiration
- May 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 12, 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
- 05D1012478
- Lab name
- Arroyo Verde Healthcare LLC DBA Grandcare Home
- Additional name
- Health West
- Address
- 3452 East Foothill Blvd., Suite 130A, Pasadena, CA 91107
- Phone
- (866) 554-2447
- Fax
- (866) 975-7331
Annual test volume the lab reported
- Waived tests
- 150
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 Arroyo Verde Healthcare LLC DBA Grandcare Home in Pasadena?
05D1012478, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Arroyo Verde Healthcare LLC DBA Grandcare Home hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1012478 expire?
The CMS file lists May 11, 2027 as the certificate expiration date; the certificate took effect May 12, 2025.