CLIA lab

CLIA 05D2172861: ST Mary Home Health Care, Inc

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

CLIA number 05D2172861 belongs to ST Mary Home Health Care, Inc in Glendale, CA.

Certificate of Waiver, effective October 1, 2025, expires September 30, 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
October 1, 2025
Certificate expiration
September 30, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 1, 2019
Facility type
Home health agency
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
05D2172861
Lab name
ST Mary Home Health Care, Inc
Address
3460 Ocean View Blvd Suite C, Glendale, CA 91208
Phone
(747) 204-5143
Fax
(747) 204-5144

Annual test volume the lab reported

Waived tests
50

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 ST Mary Home Health Care, Inc in Glendale?

05D2172861, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does ST Mary Home Health Care, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2172861 expire?

The CMS file lists September 30, 2027 as the certificate expiration date; the certificate took effect October 1, 2025.

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