CLIA lab
CLIA 05D2078397: Socal Advanced Urology
Gardena, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2078397 belongs to Socal Advanced Urology in Gardena, CA.
Certificate for Provider-Performed Microscopy Procedures, effective May 27, 2026, expires May 26, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- May 27, 2026
- Certificate expiration
- May 26, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 27, 2014
- Facility type
- Physician office
- 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
- 05D2078397
- Lab name
- Socal Advanced Urology
- Address
- 1141 W Redondo Beach Blvd Ste 303, Gardena, CA 90247
- Phone
- (310) 538-2930
- Fax
- (310) 538-2932
Annual test volume the lab reported
- Provider-performed microscopy tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Annette A Coronel-Perey, MD IncCertificate of Waiver, Physician office05D0976874
- Clear Recovery CenterCertificate of Waiver, Other05D2307823
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- Clear Recovery Center, LLCCertificate of Waiver, Other05D2307475
- Clear View Convalescent CenterCertificate of Waiver, Skilled nursing or nursing facility05D2054386
- Clear View Sanitarium, IncCertificate of Waiver, Skilled nursing or nursing facility05D0866691
- Coastal Asian Pacific Islander Family MentalCertificate of Waiver, Community clinic05D2202361
Related
Questions
What is the CLIA number for Socal Advanced Urology in Gardena?
05D2078397, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Socal Advanced Urology hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D2078397 expire?
The CMS file lists May 26, 2028 as the certificate expiration date; the certificate took effect May 27, 2026.