CLIA lab
CLIA 05D1072643: Supreme Healthcare Inc
Valencia, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1072643 belongs to Supreme Healthcare Inc in Valencia, CA.
Certificate of Waiver, effective August 21, 2025, expires August 20, 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
- August 21, 2025
- Certificate expiration
- August 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 21, 2007
- Facility type
- Home health agency
- 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
- 05D1072643
- Lab name
- Supreme Healthcare Inc
- Address
- 28312 Constellation Rd Ste A, Valencia, CA 91355
- Phone
- (818) 830-1155
- Fax
- (818) 830-1157
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Supreme Healthcare, Inc.CMS Care Compare ratings for the facility at the same street address
Other labs in Valencia, CA
- Advanced Dermatology and CosmeticCertificate of Compliance, Physician office05D0688237
- Advanced Pain ManagementCertificate of Waiver, Physician office05D2070935
- Aesthetic Surgery & Laser Medical Center IncCertificate of Waiver, Ambulatory surgery center05D2031108
- Amicis Research CenterCertificate of Waiver, Other05D2263047
- Arcam Home Health CareCertificate of Waiver, Home health agency05D2156499
- Capitol Home Health, IncCertificate of Waiver, Home health agency05D2347476
- Chlamg / Pathology LPCertificate of Waiver, Physician office05D2033799
- Comprehensive Aesthetic Institute, IncCertificate of Waiver, Physician office05D2336167
- Concentra Medical Centers-ValenciaCertificate of Waiver, Physician office05D0887758
- Dermatology Surgical-MedicalCertificate of Compliance, Physician office05D0559019
Related
Questions
What is the CLIA number for Supreme Healthcare Inc in Valencia?
05D1072643, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Supreme Healthcare Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1072643 expire?
The CMS file lists August 20, 2027 as the certificate expiration date; the certificate took effect August 21, 2025.