CLIA lab
CLIA 05D2154352: Scpmg Hawthorne Target
Hawthorne, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2154352 belongs to Scpmg Hawthorne Target in Hawthorne, CA.
Certificate of Waiver, effective November 13, 2025, expires November 12, 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
- November 13, 2025
- Certificate expiration
- November 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 11, 2018
- Facility type
- Health maintenance organization
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2154352
- Lab name
- Scpmg Hawthorne Target
- Address
- 2700 W 120th Street, Hawthorne, CA 90250
- Phone
- (310) 517-2636
- Fax
- (818) 503-6532
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Hawthorne, CA
- Ace Medical GroupCertificate of Waiver, Physician office05D0954191
- Acknowledge Home Health IncCertificate of Waiver, Home health agency05D1018472
- Ajay G Meka MD IncCertificate of Waiver, Physician office05D0693906
- Ali Awada, MD, IncCertificate of Waiver, Physician office05D1046690
- Ananias E Ebilane MDCertificate of Waiver, Physician office05D0547880
- Behavioral Health ServicesCertificate of Waiver, Federally qualified health center05D2110453
- Camino HealthcareCertificate of Waiver, Skilled nursing or nursing facility05D0885481
- Centro Medico IncCertificate of Waiver, Physician office05D0896728
- College Medical Center Hawthorne CampusCertificate of Waiver, Hospital05D2207151
- Continuity Providers Healthcare IncCertificate of Waiver, Home health agency05D2034849
Related
Questions
What is the CLIA number for Scpmg Hawthorne Target in Hawthorne?
05D2154352, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Scpmg Hawthorne Target hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2154352 expire?
The CMS file lists November 12, 2027 as the certificate expiration date; the certificate took effect November 13, 2025.