CLIA lab
CLIA 05D2003797: Ivory Hospice, Inc
Monterey Park, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2003797 belongs to Ivory Hospice, Inc in Monterey Park, CA.
Certificate of Waiver, effective February 18, 2026, expires February 17, 2028.
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 18, 2026
- Certificate expiration
- February 17, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 18, 2010
- Facility type
- Hospice
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2003797
- Lab name
- Ivory Hospice, Inc
- Address
- 233 E Pomona Blvd, Suite A, Monterey Park, CA 91755
- Phone
- (323) 724-7802
- Fax
- (323) 724-7800
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Ivory Hospice & Palliative CareCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Monterey Park, CA
- 1 World Medcine Urgent Care CorpCertificate of Waiver, Physician office05D2346628
- Alpha Medical Pharmacy IIICertificate of Waiver, Pharmacy05D2332651
- Amax PharmacyCertificate of Waiver, Pharmacy05D2335955
- Atlantic Surgical Center, LLCCertificate of Waiver, Ambulatory surgery center05D2015970
- Berwyn J Lin MDCertificate of Waiver, Physician office05D0563604
- CSC HealthCertificate of Waiver, Federally qualified health center05D2297207
- Carlos R Meza, MD IncCertificate of Waiver, Physician office05D0943879
- Central City CommunityCertificate of Waiver, Federally qualified health center05D2098045
- Complete Care Community Health Center-MontereyCertificate of Waiver, Federally qualified health center05D2191844
- Connie J. Li, MD ApcCertificate of Waiver, Physician office05D2144075
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Questions
What is the CLIA number for Ivory Hospice, Inc in Monterey Park?
05D2003797, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ivory Hospice, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2003797 expire?
The CMS file lists February 17, 2028 as the certificate expiration date; the certificate took effect February 18, 2026.