CLIA lab
CLIA 05D2289392: Hansen Community Care
Pacoima, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2289392 belongs to Hansen Community Care in Pacoima, CA.
Certificate of Waiver, effective September 11, 2025, expires September 10, 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
- September 11, 2025
- Certificate expiration
- September 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 11, 2023
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- 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
- 05D2289392
- Lab name
- Hansen Community Care
- Address
- 12943 Wingo St, Pacoima, CA 91331
- Phone
- (747) 367-0241
- Fax
- (818) 475-1540
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Pacoima, CA
- California Teatment Center IncCertificate of Waiver, Other05D2348908
- Clinica Medica PacoimaCertificate of Waiver, Physician office05D2315876
- Dorado PharmacyCertificate of Waiver, Pharmacy05D2275957
- Edgemont Medical ClinicCertificate of Waiver, Physician office05D2318937
- Home of Compassion IncCertificate of Waiver, Other05D2077544
- J & M Laurel Medical CenterCertificate of Waiver, Physician office05D0911914
- Medicina Familiar Medical GroupCertificate of Waiver, Physician office05D2057512
- Nevhc-Maclay Wellness CenterCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D2189010
- Norma C Salceda MDCertificate of Waiver, Physician office05D0971061
- Pacoima Women's Health CenterCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D2148104
Related
Questions
What is the CLIA number for Hansen Community Care in Pacoima?
05D2289392, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hansen Community Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2289392 expire?
The CMS file lists September 10, 2027 as the certificate expiration date; the certificate took effect September 11, 2025.