CLIA lab

CLIA 05D1016892: Normandie Place

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

CLIA number 05D1016892 belongs to Normandie Place in Gardena, CA.

Certificate of Waiver, effective September 11, 2025, expires September 10, 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
September 11, 2025
Certificate expiration
September 10, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 11, 2003
Facility type
Skilled nursing or nursing 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
05D1016892
Lab name
Normandie Place
Address
14509 S Normandie Avenue, Gardena, CA 90247
Phone
(310) 767-1390
Fax
(310) 767-1007

Annual test volume the lab reported

Waived tests
1,200

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 Normandie Place in Gardena?

05D1016892, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Normandie Place hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1016892 expire?

The CMS file lists September 10, 2027 as the certificate expiration date; the certificate took effect September 11, 2025.

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