CLIA lab
CLIA 05D2169734: UCLA Health Pasadena - Pediatrics
Pasadena, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2169734 belongs to UCLA Health Pasadena - Pediatrics in Pasadena, CA.
Certificate of Waiver, effective July 25, 2025, expires July 24, 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
- July 25, 2025
- Certificate expiration
- July 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 25, 2019
- Facility type
- Physician office
- Ownership (control type)
- Government, state
- 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
- 05D2169734
- Lab name
- UCLA Health Pasadena - Pediatrics
- Address
- 800 Fairmount Ave, Suite 415, Pasadena, CA 91105
- Phone
- (310) 301-8658
Annual test volume the lab reported
- Waived tests
- 2,000
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 UCLA Health Pasadena - Pediatrics in Pasadena?
05D2169734, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does UCLA Health Pasadena - Pediatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2169734 expire?
The CMS file lists July 24, 2027 as the certificate expiration date; the certificate took effect July 25, 2025.