CLIA lab
CLIA 05D1104927: Pasadena Foothills Dialysis
Pasadena, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1104927 belongs to Pasadena Foothills Dialysis in Pasadena, 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
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1104927
- Lab name
- Pasadena Foothills Dialysis
- Address
- 3722 E Colorado Blvd, Pasadena, CA 91107
- Phone
- (626) 432-4331
- Fax
- (626) 432-4336
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
- DaVita Pasadena Foothills Dialysis CenterCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Pasadena Foothills Dialysis in Pasadena?
05D1104927, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pasadena Foothills Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1104927 expire?
The CMS file lists September 13, 2027 as the certificate expiration date; the certificate took effect September 14, 2025.