CLIA lab
CLIA 05D1045579: Presbyterian Intercommunity Hospital Home Health
La Mirada, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1045579 belongs to Presbyterian Intercommunity Hospital Home Health in La Mirada, CA.
Certificate of Waiver, effective September 19, 2025, expires September 18, 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 19, 2025
- Certificate expiration
- September 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 19, 2005
- Facility type
- Home health agency
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1045579
- Lab name
- Presbyterian Intercommunity Hospital Home Health
- Additional name
- Services
- Address
- 15050 Imperial Highway, La Mirada, CA 90638
- Phone
- (562) 902-7763
- Fax
- (562) 902-7787
Annual test volume the lab reported
- Waived tests
- 30
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Presbyterian Intercommunity Hospital Home HealthCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in La Mirada, CA
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D0687004
- Agile Occupational Medicine, PCCertificate of Waiver, Physician office05D2331789
- Akeso Occupational Health - La MiradaCertificate of Waiver, Physician office05D2316727
- Alternative Health Care, LLCCertificate of Waiver, Home health agency05D2040359
- Care Center Home HealthCertificate of Waiver, Home health agency05D1012495
- Carelon HealthCertificate of Waiver, Physician office05D2004960
- Caremore Medical Group IncCertificate of Waiver, Physician office05D0869428
- Henry Winn MDCertificate of Waiver, Physician office05D0937636
- Imperial Healthcare CenterCertificate of Waiver, Skilled nursing or nursing facility05D0726203
- Imperial Primary CareCertificate of Waiver, Physician office05D0981364
Related
Questions
What is the CLIA number for Presbyterian Intercommunity Hospital Home Health in La Mirada?
05D1045579, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Presbyterian Intercommunity Hospital Home Health hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1045579 expire?
The CMS file lists September 18, 2027 as the certificate expiration date; the certificate took effect September 19, 2025.