CLIA lab

CLIA 05D2095752: Casa Sao Jorge

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

CLIA number 05D2095752 belongs to Casa Sao Jorge in Fresno, CA.

Certificate of Waiver, effective May 11, 2025, expires May 10, 2027.

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
May 11, 2025
Certificate expiration
May 10, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 11, 2015
Facility type
Intermediate care facility for individuals with intellectual disabilities
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D2095752
Lab name
Casa Sao Jorge
Address
5555 N Maroa Ave, Fresno, CA 93704
Phone
(559) 485-5555
Fax
(559) 485-8919

Annual test volume the lab reported

Waived tests
1,095

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

Affiliated CLIA numbers

Other labs in Fresno, CA

Related

Questions

What is the CLIA number for Casa Sao Jorge in Fresno?

05D2095752, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Casa Sao Jorge hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2095752 expire?

The CMS file lists May 10, 2027 as the certificate expiration date; the certificate took effect May 11, 2025.

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