CLIA lab
CLIA 05D1075391: Concentra Gardena
Gardena, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1075391 belongs to Concentra Gardena in Gardena, CA.
Certificate of Waiver, effective October 18, 2025, expires October 17, 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
- October 18, 2025
- Certificate expiration
- October 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 18, 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
- 05D1075391
- Lab name
- Concentra Gardena
- Address
- 16630 S Broadway St, Gardena, CA 90248
- Phone
- (310) 768-8155
- Fax
- (310) 768-8313
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.
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- 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 Concentra Gardena in Gardena?
05D1075391, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Concentra Gardena hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1075391 expire?
The CMS file lists October 17, 2027 as the certificate expiration date; the certificate took effect October 18, 2025.