CLIA lab
CLIA 05D2132594: Providence Health System - Little Co of
San Pedro, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2132594 belongs to Providence Health System - Little Co of in San Pedro, CA.
Certificate of Waiver, effective June 22, 2025, expires June 21, 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
- June 22, 2025
- Certificate expiration
- June 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 22, 2017
- Facility type
- Hospital
- Ownership (control type)
- Religious affiliation
- 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
- 05D2132594
- Lab name
- Providence Health System - Little Co of
- Additional name
- Mary Med CTR - Outpatient Behav Hlth CTR
- Address
- 1386 W 7th St, San Pedro, CA 90732
- Phone
- (310) 241-4029
- Fax
- (310) 241-4342
Annual test volume the lab reported
- Waived tests
- 7,300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in San Pedro, CA
- Coastwise Integrated Recovery IncCertificate of Waiver, Other05D2298389
- Cor Healthcare Medical AssociatesCertificate of Waiver, Physician office05D0553670
- Csi Medical GroupCertificate of Compliance, Physician office05D0686492
- Francisco K Correa MD IncCertificate of Waiver, Physician office05D2157566
- Fred Brown Recovery Services IncCertificate of Waiver, Comprehensive outpatient rehab facility05D2125649
- Hanaa Hanna MD IncCertificate of Waiver, Physician office05D1074610
- Harbor Community ClinicCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D0698919
- Healthcare Partners AffiliatesCertificate for Provider-Performed Microscopy Procedures, Physician office05D0914886
- House of HopeCertificate of Waiver, Other05D2116471
- House of HopeCertificate of Waiver, Other05D2185987
Related
Questions
What is the CLIA number for Providence Health System - Little Co of in San Pedro?
05D2132594, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Health System - Little Co of hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2132594 expire?
The CMS file lists June 21, 2027 as the certificate expiration date; the certificate took effect June 22, 2025.