CLIA lab
CLIA 05D2086087: Pacific Hospice LLC
Cerritos, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2086087 belongs to Pacific Hospice LLC in Cerritos, CA.
Certificate of Waiver, effective October 28, 2024, expires October 27, 2026.
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
- October 28, 2024
- Certificate expiration
- October 27, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 28, 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
- 05D2086087
- Lab name
- Pacific Hospice LLC
- Address
- 11829 South St Ste 103, Cerritos, CA 90703
- Phone
- (562) 809-0988
- Fax
- (562) 809-0989
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.
Care facility at this address
- Pacific Hospice, LLCCMS Care Compare ratings for the facility at the same street address
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- College HospitalCertificate of Waiver, Hospital05D0883409
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- Core Healthcare GroupCertificate for Provider-Performed Microscopy Procedures, Physician office05D2089437
- David Butchert, ODCertificate of Waiver, Physician office05D2287848
- Ejw IncCertificate of Waiver, Physician office05D2135216
Related
Questions
What is the CLIA number for Pacific Hospice LLC in Cerritos?
05D2086087, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pacific Hospice LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2086087 expire?
The CMS file lists October 27, 2026 as the certificate expiration date; the certificate took effect October 28, 2024.