CLIA lab
CLIA 05D2125217: Providence Medical Institute
Redondo Beach, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2125217 belongs to Providence Medical Institute in Redondo Beach, CA.
Certificate for Provider-Performed Microscopy Procedures, effective February 2, 2025, expires February 1, 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
- February 2, 2025
- Certificate expiration
- February 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 2, 2017
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 05D2125217
- Lab name
- Providence Medical Institute
- Address
- 520 N Prospect Ave Ste 203, Redondo Beach, CA 90277
- Phone
- (310) 792-4059
- Fax
- (310) 792-4093
Annual test volume the lab reported
- Provider-performed microscopy tests
- 11,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Redondo Beach, CA
- Attain Health Home Health, IncCertificate of Waiver, Home health agency05D2107457
- Beach Cities Medicine, LLCCertificate of Waiver, Physician office05D2270856
- Beach District Surgery CenterCertificate of Waiver, Ambulatory surgery center05D1053350
- Carbon Health Medical Group of California, PCCertificate of Waiver, Physician office05D2242427
- Clear Recovery CenterCertificate of Waiver, Other05D2110005
- Clear Recovery CenterCertificate of Waiver, Other05D2198375
- Clear Recovery CenterCertificate of Waiver, Other05D2198376
- Clear Recovery Center - 326 N Prospect AveCertificate of Waiver, Other05D2336163
- Cor Redondo BeachCertificate of Waiver, Ancillary test site05D2050337
- Dr.Paul's Immediate CareCertificate of Waiver, Physician office05D2297477
Related
Questions
What is the CLIA number for Providence Medical Institute in Redondo Beach?
05D2125217, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Medical Institute hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D2125217 expire?
The CMS file lists February 1, 2027 as the certificate expiration date; the certificate took effect February 2, 2025.