CLIA lab
CLIA 05D1019730: Pacific Home Care
Carson, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1019730 belongs to Pacific Home Care in Carson, CA.
Certificate of Waiver, effective July 28, 2026, expires July 27, 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
- July 28, 2026
- Certificate expiration
- July 27, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 26, 2003
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- 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
- 05D1019730
- Lab name
- Pacific Home Care
- Address
- 254 East 228th St, Carson, CA 90745
- Phone
- (310) 518-5178
- Fax
- (310) 513-1684
Annual test volume the lab reported
- Waived tests
- 4
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Carson, CA
- Argent Medical Group, IncCertificate of Waiver, Physician office05D0953280
- Bma Carson Community DialysisCertificate of Waiver, End stage renal disease dialysis facility05D0553811
- C & C Carson Adult Day Hlth Care CTRCertificate of Waiver, Other05D0983449
- California State University DominguezCertificate for Provider-Performed Microscopy Procedures, School or student health service05D0879804
- Careonsite - Tesoro CarsonCertificate of Waiver, Industrial05D1086497
- Carepointe Home Health Services IncCertificate of Waiver, Home health agency05D2005954
- Caringminds Services, IncCertificate of Waiver, Home health agency05D2033030
- Carson DialysisCertificate of Waiver, End stage renal disease dialysis facility05D0925339
- Carson Healthcare Services LLCCertificate of Waiver, Home health agency05D2150334
- Carson Pavilion DialysisCertificate of Waiver, End stage renal disease dialysis facility05D2161614
Related
Questions
What is the CLIA number for Pacific Home Care in Carson?
05D1019730, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pacific Home Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1019730 expire?
The CMS file lists July 27, 2028 as the certificate expiration date; the certificate took effect July 28, 2026.