CLIA lab

CLIA 05D2202278: San Pedro Mental Health Center

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

CLIA number 05D2202278 belongs to San Pedro Mental Health Center in San Pedro, CA.

Certificate of Waiver, effective November 25, 2024, expires November 24, 2026.

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 25, 2024
Certificate expiration
November 24, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 25, 2020
Facility type
Community clinic
Ownership (control type)
Government, county
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
05D2202278
Lab name
San Pedro Mental Health Center
Address
1294 W 6th St, 2nd Fl, Ste 200, San Pedro, CA 90732
Phone
(213) 738-4725
Fax
(213) 402-2889

Annual test volume the lab reported

Waived tests
4,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in San Pedro, CA

Related

Questions

What is the CLIA number for San Pedro Mental Health Center in San Pedro?

05D2202278, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does San Pedro Mental Health Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2202278 expire?

The CMS file lists November 24, 2026 as the certificate expiration date; the certificate took effect November 25, 2024.

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