CLIA lab

CLIA 05D2136409: Shine Health & Wellness

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

CLIA number 05D2136409 belongs to Shine Health & Wellness in Pasadena, CA.

Certificate of Waiver, effective September 8, 2025, expires September 7, 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
September 8, 2025
Certificate expiration
September 7, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 8, 2017
Facility type
Physician office
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
05D2136409
Lab name
Shine Health & Wellness
Address
960 E Green St Ste 206, Pasadena, CA 91106
Phone
(626) 317-0207
Fax
(626) 327-0195

Annual test volume the lab reported

Waived tests
100

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

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Related

Questions

What is the CLIA number for Shine Health & Wellness in Pasadena?

05D2136409, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Shine Health & Wellness hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2136409 expire?

The CMS file lists September 7, 2027 as the certificate expiration date; the certificate took effect September 8, 2025.

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