CLIA lab
CLIA 05D1028461: Evergreen Hospice Care Inc
Cerritos, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1028461 belongs to Evergreen Hospice Care Inc in Cerritos, CA.
Certificate of Waiver, effective July 23, 2026, expires July 22, 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 23, 2026
- Certificate expiration
- July 22, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 23, 2004
- Facility type
- Hospice
- 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
- 05D1028461
- Lab name
- Evergreen Hospice Care Inc
- Address
- 17215 Studebaker Rd Ste 100, Cerritos, CA 90703
- Phone
- (562) 865-9006
- Fax
- (562) 865-9022
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.
Other labs in Cerritos, CA
- Burnet Hospice Care IncCertificate of Waiver, Hospice05D2104341
- Carbon Health Medical Group of California PCCertificate of Waiver, Physician office05D2279224
- Cerritos DialysisCertificate of Waiver, End stage renal disease dialysis facility05D0998714
- Cerritos Endoscopic Medical CenterCertificate of Waiver, Ambulatory surgery center05D2066295
- Cerritos Surgery Center LLCCertificate of Waiver, Ambulatory surgery center05D1095154
- College HospitalCertificate of Waiver, Hospital05D0883409
- Comprehensive Care Home Health Agency IncCertificate of Waiver, Home health agency05D2316234
- Core Healthcare GroupCertificate for Provider-Performed Microscopy Procedures, Physician office05D2089437
- David Butchert, ODCertificate of Waiver, Physician office05D2287848
- Ejw IncCertificate of Waiver, Physician office05D2135216
Related
Questions
What is the CLIA number for Evergreen Hospice Care Inc in Cerritos?
05D1028461, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Evergreen Hospice Care Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1028461 expire?
The CMS file lists July 22, 2028 as the certificate expiration date; the certificate took effect July 23, 2026.