CLIA lab
CLIA 05D2184620: ST Antony Pharmacy
El Segundo, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2184620 belongs to ST Antony Pharmacy in El Segundo, CA.
Certificate of Waiver, effective May 21, 2026, expires May 20, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- May 21, 2026
- Certificate expiration
- May 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 21, 2020
- Facility type
- Pharmacy
- 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
- 05D2184620
- Lab name
- ST Antony Pharmacy
- Address
- 310 E Grand Ave #405, El Segundo, CA 90245
- Phone
- (310) 524-9244
- Fax
- (310) 524-9592
Annual test volume the lab reported
- Waived tests
- 150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in El Segundo, CA
- Boeing CompanyCertificate of Waiver, Other05D0862487
- Cedars-Sinai Medical Care FoundationCertificate of Waiver, Physician office05D0979068
- Chan Soon-Shiong Institute for MedicineCertificate of Accreditation, Physician office05D2144811
- Chevron Refinery Clinic -El SegundoCertificate of Waiver, Industrial05D0689540
- Concentra - El Segundo LaxCertificate of Waiver, Physician office05D0903814
- El Segundo Dermatology IncCertificate of Compliance, Physician office05D2113648
- El Segundo Endoscopy Center LLCCertificate of Waiver, Ambulatory surgery center05D2264119
- Goodlife Physical MedicineCertificate of Waiver, Physician office05D2188514
- Love Life MedicalCertificate of Waiver, Physician office05D2307224
- Michael F Mellman MDCertificate of Waiver, Physician office05D0975505
Related
Questions
What is the CLIA number for ST Antony Pharmacy in El Segundo?
05D2184620, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does ST Antony Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2184620 expire?
The CMS file lists May 20, 2028 as the certificate expiration date; the certificate took effect May 21, 2026.