CLIA lab
CLIA 05D2161614: Carson Pavilion Dialysis
Carson, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2161614 belongs to Carson Pavilion Dialysis in Carson, CA.
Certificate of Waiver, effective February 6, 2025, expires February 5, 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
- February 6, 2025
- Certificate expiration
- February 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 6, 2019
- Facility type
- End stage renal disease dialysis facility
- 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
- 05D2161614
- Lab name
- Carson Pavilion Dialysis
- Address
- 20930 Chico Street, Carson, CA 90746
- Phone
- (530) 892-9937
- Fax
- (530) 342-3199
Annual test volume the lab reported
- Waived tests
- 10,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Carson Pavilion DialysisCMS Care Compare ratings for the facility at the same street address
Other labs in Carson, CA
- Argent Medical Group, IncCertificate of Waiver, Physician office05D0953280
- Bma Carson Community DialysisCertificate of Waiver, End stage renal disease dialysis facility05D0553811
- C & C Carson Adult Day Hlth Care CTRCertificate of Waiver, Other05D0983449
- California State University DominguezCertificate for Provider-Performed Microscopy Procedures, School or student health service05D0879804
- Careonsite - Tesoro CarsonCertificate of Waiver, Industrial05D1086497
- Carepointe Home Health Services IncCertificate of Waiver, Home health agency05D2005954
- Caringminds Services, IncCertificate of Waiver, Home health agency05D2033030
- Carson DialysisCertificate of Waiver, End stage renal disease dialysis facility05D0925339
- Carson Healthcare Services LLCCertificate of Waiver, Home health agency05D2150334
- Carson-Avalon Dialysis, LLCCertificate of Waiver, End stage renal disease dialysis facility05D2024239
Related
Questions
What is the CLIA number for Carson Pavilion Dialysis in Carson?
05D2161614, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Carson Pavilion Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2161614 expire?
The CMS file lists February 5, 2027 as the certificate expiration date; the certificate took effect February 6, 2025.