CLIA lab

CLIA 05D2035294: Mary's House

Lawndale, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2035294 belongs to Mary's House in Lawndale, CA.

Certificate of Waiver, effective January 13, 2026, expires January 12, 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
January 13, 2026
Certificate expiration
January 12, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 13, 2012
Facility type
Intermediate care facility for individuals with intellectual disabilities
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
05D2035294
Lab name
Mary's House
Address
14901 Condon Ave, Lawndale, CA 90260
Phone
(310) 675-2887
Fax
(310) 675-4551

Annual test volume the lab reported

Waived tests
730

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Lawndale, CA

Related

Questions

What is the CLIA number for Mary's House in Lawndale?

05D2035294, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mary's House hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2035294 expire?

The CMS file lists January 12, 2028 as the certificate expiration date; the certificate took effect January 13, 2026.

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