CLIA lab
CLIA 05D2044481: Providence Facey Medical Foundation
Mission Hills, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2044481 belongs to Providence Facey Medical Foundation in Mission Hills, CA.
Certificate of Waiver, effective July 25, 2026, expires July 24, 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
- July 25, 2026
- Certificate expiration
- July 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 25, 2012
- Facility type
- Other
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 5
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2044481
- Lab name
- Providence Facey Medical Foundation
- Additional name
- DBA Facey Endoscopy Center
- Address
- 11333 N. Sepulveda Blvd Ste. 3200, Mission Hills, CA 91345
- Phone
- (818) 869-7048
- Fax
- (818) 869-7136
Annual test volume the lab reported
- Waived tests
- 10
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Mission Hills, CA
- Agile Occupational Medicine, PCCertificate of Waiver, Physician office05D2315285
- Anmar Home Helath Care IncCertificate of Waiver, Home health agency05D2303468
- Ararat Nursing FacilityCertificate of Waiver, Skilled nursing or nursing facility05D2081415
- Arion Congregate Home IncCertificate of Waiver, Skilled nursing or nursing facility05D2333361
- Assisted Home CareCertificate of Waiver, Home health agency05D0938271
- Assisted Home Care IncCertificate of Waiver, Hospice05D2310591
- Blue Sky Home Health, IncCertificate of Waiver, Home health agency05D1090944
- Easi Home Health Care, Inc.Certificate of Waiver, Home health agency05D2288367
- Family Planning Associates MedicalCertificate of Compliance, Physician office05D0668296
- Frank R Lusher MD IncCertificate of Compliance, Physician office05D0864512
Related
Questions
What is the CLIA number for Providence Facey Medical Foundation in Mission Hills?
05D2044481, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Facey Medical Foundation hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2044481 expire?
The CMS file lists July 24, 2028 as the certificate expiration date; the certificate took effect July 25, 2026.