CLIA lab
CLIA 05D2290773: ST John Helathcare Services
Porter Ranch, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2290773 belongs to ST John Helathcare Services in Porter Ranch, CA.
Certificate of Waiver, effective September 29, 2025, expires September 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
- September 29, 2025
- Certificate expiration
- September 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 29, 2023
- Facility type
- Home health agency
- 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
- 05D2290773
- Lab name
- ST John Helathcare Services
- Address
- 11260 Wilbur Ave Suite 302, Porter Ranch, CA 91326
- Phone
- (818) 855-1923
- Fax
- (818) 855-1925
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- ST. John's Healthcare ServicesCMS Care Compare ratings for the facility at the same street address
Other labs in Porter Ranch, CA
- Federal Home Health Agency IncCertificate of Waiver, Home health agency05D2335905
- Providence Facey Medical FoundationCertificate for Provider-Performed Microscopy Procedures, Physician office05D0960450
- Scpmg Porter Ranch Medical OfficeCertificate of Waiver, Health maintenance organization05D2165514
- Trinity Health Partners LLCCertificate of Waiver, Other05D2325909
- UCLA Health Porter Ranch PediatricsCertificate of Waiver, Other05D2324323
- UCLA Hematology/Oncology Porter RanchCertificate of Accreditation, Other05D2060853
- UCLA Porter Ranch Primary Care and SpecialtiesCertificate of Waiver, Other05D2066970
- Walmart Pharmacy #10-2526Certificate of Waiver, Pharmacy05D2341404
Related
Questions
What is the CLIA number for ST John Helathcare Services in Porter Ranch?
05D2290773, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does ST John Helathcare Services hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2290773 expire?
The CMS file lists September 28, 2027 as the certificate expiration date; the certificate took effect September 29, 2025.