CLIA lab
CLIA 05D1104924: Huntington Park Dialysis
Huntington Park, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1104924 belongs to Huntington Park Dialysis in Huntington Park, CA.
Certificate of Waiver, effective September 14, 2025, expires September 13, 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 14, 2025
- Certificate expiration
- September 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 14, 2009
- Facility type
- End stage renal disease dialysis facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1104924
- Lab name
- Huntington Park Dialysis
- Address
- 5942 Rugby Ave, Huntington Park, CA 90255
- Phone
- (323) 585-7605
- Fax
- (323) 585-7635
Annual test volume the lab reported
- Waived tests
- 49,608
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Huntington Park DialysisCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Huntington Park, CA
- Altamed Health Services Corporation RugbyCertificate of Waiver, Community clinic05D0994368
- Altamed Medical GroupCertificate of Waiver, Federally qualified health center05D2102128
- Altamed Medical Group - Huntington Park, RugbyCertificate of Waiver, Federally qualified health center05D2231509
- Altamed Medical Group - Huntington Park, SevilleCertificate of Waiver, Federally qualified health center05D2324212
- Altamed Pace- Walnut ParkCertificate of Waiver, Federally qualified health center05D2283992
- Amg, A Professional Medical CorpCertificate of Waiver, Physician office05D0887287
- Centro De Cuidado Renal, LLCCertificate of Waiver, End stage renal disease dialysis facility05D2259838
- Clinica Medica Virgen De GuadalupeCertificate of Waiver, Physician office05D1045885
- Community Hospital of Huntington ParkCertificate of Accreditation, Hospital05D0949242
- Community Prenatal & Medical ClinicCertificate of Waiver, Physician office05D0973996
Related
- CLIA labs in Huntington Park, CA45 active
- CLIA labs in California
- DaVita Huntington Park Dialysis: CMS ratings
- Nursing Homes in Huntington Park, CA
- Home Health Agencies in Huntington Park, CA
- Dialysis Centers in Huntington Park, CA
- Hospitals in Huntington Park, CA
- NPI records in Huntington Park, CA
- CLIA lookup
Questions
What is the CLIA number for Huntington Park Dialysis in Huntington Park?
05D1104924, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Huntington Park Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1104924 expire?
The CMS file lists September 13, 2027 as the certificate expiration date; the certificate took effect September 14, 2025.