CLIA lab

CLIA 05D2150081: Saint Mariam Congragate

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

CLIA number 05D2150081 belongs to Saint Mariam Congragate in Sylmar, CA.

Certificate of Waiver, effective June 15, 2026, expires June 14, 2028.

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 15, 2026
Certificate expiration
June 14, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 15, 2018
Facility type
Other
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
05D2150081
Lab name
Saint Mariam Congragate
Address
13749 Aldergrove Street, Sylmar, CA 91342
Phone
(818) 635-5777
Fax
(818) 617-0657

Annual test volume the lab reported

Waived tests
500

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 Saint Mariam Congragate in Sylmar?

05D2150081, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Saint Mariam Congragate hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2150081 expire?

The CMS file lists June 14, 2028 as the certificate expiration date; the certificate took effect June 15, 2026.

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