CLIA lab
CLIA 05D2279140: Divine Healthcare Services, Inc.
Inglewood, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2279140 belongs to Divine Healthcare Services, Inc. in Inglewood, CA.
Certificate of Waiver, effective March 29, 2025, expires March 28, 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
- March 29, 2025
- Certificate expiration
- March 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 29, 2023
- Facility type
- Other
- 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
- 05D2279140
- Lab name
- Divine Healthcare Services, Inc.
- Address
- 405 W Manchester Blvd., Suite A, Inglewood, CA 90301
- Phone
- (310) 672-3820
- Fax
- (310) 672-3822
Annual test volume the lab reported
- Waived tests
- 1,080
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 Divine Healthcare Services, Inc. in Inglewood?
05D2279140, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Divine Healthcare Services, Inc. hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2279140 expire?
The CMS file lists March 28, 2027 as the certificate expiration date; the certificate took effect March 29, 2025.