CLIA lab

CLIA 05D2079766: San Antonio Hospice, Inc

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

CLIA number 05D2079766 belongs to San Antonio Hospice, Inc in Glendale, CA.

Certificate of Waiver, effective September 28, 2026, expires September 27, 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
September 28, 2026
Certificate expiration
September 27, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 24, 2014
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
05D2079766
Lab name
San Antonio Hospice, Inc
Additional name
DBA Olympia Hospice & Palliative Care
Address
419 W Colorado St, Ste B, Glendale, CA 91204
Phone
(818) 238-9999
Fax
(818) 238-9997

Annual test volume the lab reported

Waived tests
20

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

Care facility at this address

Other labs in Glendale, CA

Related

Questions

What is the CLIA number for San Antonio Hospice, Inc in Glendale?

05D2079766, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does San Antonio Hospice, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2079766 expire?

The CMS file lists September 27, 2028 as the certificate expiration date; the certificate took effect September 28, 2026.

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