CLIA lab
CLIA 05D1065039: Lily Balette MD
Gardena, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1065039 belongs to Lily Balette MD in Gardena, CA.
Certificate of Waiver, effective February 20, 2025, expires February 19, 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
- February 20, 2025
- Certificate expiration
- February 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 20, 2007
- Facility type
- Physician office
- 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
- 05D1065039
- Lab name
- Lily Balette MD
- Address
- 1141 W Redondo Beach Blvd Ste 211, Gardena, CA 90247
- Phone
- (310) 327-0245
- Fax
- (310) 327-0116
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Gardena, CA
- Abraham Golbari MDCertificate of Waiver, Physician office05D1007582
- Adel S Metry MDCertificate of Waiver, Physician office05D1009593
- Anjanette Hogan MD IncCertificate for Provider-Performed Microscopy Procedures, Physician office05D1061260
- Annette A Coronel-Perey, MD IncCertificate of Waiver, Physician office05D0976874
- Clear Recovery CenterCertificate of Waiver, Other05D2307823
- Clear Recovery Center - 1925 W 146th STCertificate of Waiver, Other05D2322374
- Clear Recovery Center, LLCCertificate of Waiver, Other05D2307475
- Clear View Convalescent CenterCertificate of Waiver, Skilled nursing or nursing facility05D2054386
- Clear View Sanitarium, IncCertificate of Waiver, Skilled nursing or nursing facility05D0866691
- Coastal Asian Pacific Islander Family MentalCertificate of Waiver, Community clinic05D2202361
Related
Questions
What is the CLIA number for Lily Balette MD in Gardena?
05D1065039, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lily Balette MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1065039 expire?
The CMS file lists February 19, 2027 as the certificate expiration date; the certificate took effect February 20, 2025.