CLIA lab
CLIA 05D2025580: Wisteria Hospice Inc
Long Beach, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2025580 belongs to Wisteria Hospice Inc in Long Beach, CA.
Certificate of Waiver, effective June 13, 2025, expires June 12, 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
- June 13, 2025
- Certificate expiration
- June 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 13, 2011
- Facility type
- Hospice
- 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
- 05D2025580
- Lab name
- Wisteria Hospice Inc
- Address
- 4195 N Viking Way Ste 140, Long Beach, CA 90808
- Phone
- (562) 425-1203
- Fax
- (562) 425-1643
Annual test volume the lab reported
- Waived tests
- 5
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Wisteria Hospice, Inc.CMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Wisteria Hospice Inc in Long Beach?
05D2025580, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wisteria Hospice Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2025580 expire?
The CMS file lists June 12, 2027 as the certificate expiration date; the certificate took effect June 13, 2025.