CLIA lab
CLIA 05D2285000: Tri-State Community Healthcare Center
San Fernando, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2285000 belongs to Tri-State Community Healthcare Center in San Fernando, CA.
Certificate of Waiver, effective July 3, 2025, expires July 2, 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 3, 2025
- Certificate expiration
- July 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 3, 2023
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2285000
- Lab name
- Tri-State Community Healthcare Center
- Address
- 11273 Laurel Canyon Blvd Suite 2, San Fernando, CA 91340
- Phone
- (818) 853-2220
- Fax
- (818) 853-2221
Annual test volume the lab reported
- Waived tests
- 9,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in San Fernando, CA
- Arev Homehealth IncCertificate of Waiver, Home health agency05D2324299
- Arming Home Health IncCertificate of Waiver, Home health agency05D2061326
- Astra Home Health Care, IncCertificate of Waiver, Home health agency05D2323130
- Atalla Medical GroupCertificate of Waiver, Physician office05D2214178
- Farid Yasharpour MDCertificate of Waiver, Other05D2311009
- Farid Yasharpour MD, A Medical CorporationCertificate for Provider-Performed Microscopy Procedures, Physician office05D1038427
- Fast Care Home Health IncCertificate of Waiver, Home health agency05D2172756
- Fresenius Medical Care of San FernandoCertificate of Waiver, End stage renal disease dialysis facility05D1018185
- Gilbert Rosales, MDCertificate of Waiver, Physician office05D2314731
- HMG Community Clinic IncCertificate of Waiver, Physician office05D2344339
Related
Questions
What is the CLIA number for Tri-State Community Healthcare Center in San Fernando?
05D2285000, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tri-State Community Healthcare Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2285000 expire?
The CMS file lists July 2, 2027 as the certificate expiration date; the certificate took effect July 3, 2025.