CLIA lab
CLIA 05D2288516: Ivy Park at Cerritos
Cerritos, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2288516 belongs to Ivy Park at Cerritos in Cerritos, CA.
Certificate of Waiver, effective August 25, 2025, expires August 24, 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
- August 25, 2025
- Certificate expiration
- August 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 25, 2023
- Facility type
- Assisted living facility
- 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
- 05D2288516
- Lab name
- Ivy Park at Cerritos
- Address
- 11000 New Falcon Way, Cerritos, CA 90703
- Phone
- (530) 227-5738
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Cerritos, CA
- Burnet Hospice Care IncCertificate of Waiver, Hospice05D2104341
- Carbon Health Medical Group of California PCCertificate of Waiver, Physician office05D2279224
- Cerritos DialysisCertificate of Waiver, End stage renal disease dialysis facility05D0998714
- Cerritos Endoscopic Medical CenterCertificate of Waiver, Ambulatory surgery center05D2066295
- Cerritos Surgery Center LLCCertificate of Waiver, Ambulatory surgery center05D1095154
- College HospitalCertificate of Waiver, Hospital05D0883409
- Comprehensive Care Home Health Agency IncCertificate of Waiver, Home health agency05D2316234
- Core Healthcare GroupCertificate for Provider-Performed Microscopy Procedures, Physician office05D2089437
- David Butchert, ODCertificate of Waiver, Physician office05D2287848
- Ejw IncCertificate of Waiver, Physician office05D2135216
Related
Questions
What is the CLIA number for Ivy Park at Cerritos in Cerritos?
05D2288516, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ivy Park at Cerritos hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2288516 expire?
The CMS file lists August 24, 2027 as the certificate expiration date; the certificate took effect August 25, 2025.