CLIA lab
CLIA 05D2106494: Davita Huntington Dialysis
Pasadena, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2106494 belongs to Davita Huntington Dialysis in Pasadena, CA.
Certificate of Waiver, effective December 18, 2025, expires December 17, 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
- December 18, 2025
- Certificate expiration
- December 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 18, 2015
- Facility type
- End stage renal disease dialysis facility
- 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
- 05D2106494
- Lab name
- Davita Huntington Dialysis
- Address
- 390 S Fair Oaks Ave Ste 120, Pasadena, CA 91105
- Phone
- (626) 564-2818
- Fax
- (626) 564-2889
Annual test volume the lab reported
- Waived tests
- 10,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Huntington DialysisCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Davita Huntington Dialysis in Pasadena?
05D2106494, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Davita Huntington Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2106494 expire?
The CMS file lists December 17, 2027 as the certificate expiration date; the certificate took effect December 18, 2025.