CLIA lab
CLIA 05D2105332: One Medical -Space X
Hawthorne, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2105332 belongs to One Medical -Space X in Hawthorne, CA.
Certificate for Provider-Performed Microscopy Procedures, effective November 23, 2025, expires November 22, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- November 23, 2025
- Certificate expiration
- November 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 23, 2015
- Facility type
- Physician office
- 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
- 05D2105332
- Lab name
- One Medical -Space X
- Address
- 3615 Jack Northrop Ave Ste 100, Hawthorne, CA 90250
- Phone
- (888) 663-6331
- Fax
- (415) 252-7176
Annual test volume the lab reported
- Waived tests
- 7,630
- Provider-performed microscopy tests
- 675
- Total
- 8,305
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Hawthorne, CA
- Ace Medical GroupCertificate of Waiver, Physician office05D0954191
- Acknowledge Home Health IncCertificate of Waiver, Home health agency05D1018472
- Ajay G Meka MD IncCertificate of Waiver, Physician office05D0693906
- Ali Awada, MD, IncCertificate of Waiver, Physician office05D1046690
- Ananias E Ebilane MDCertificate of Waiver, Physician office05D0547880
- Behavioral Health ServicesCertificate of Waiver, Federally qualified health center05D2110453
- Camino HealthcareCertificate of Waiver, Skilled nursing or nursing facility05D0885481
- Centro Medico IncCertificate of Waiver, Physician office05D0896728
- College Medical Center Hawthorne CampusCertificate of Waiver, Hospital05D2207151
- Continuity Providers Healthcare IncCertificate of Waiver, Home health agency05D2034849
Related
Questions
What is the CLIA number for One Medical -Space X in Hawthorne?
05D2105332, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does One Medical -Space X hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D2105332 expire?
The CMS file lists November 22, 2027 as the certificate expiration date; the certificate took effect November 23, 2025.