CLIA lab
CLIA 05D2292193: 1741 Hauser Blvd Detox LLC
Los Angeles, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2292193 belongs to 1741 Hauser Blvd Detox LLC in Los Angeles, CA.
Certificate of Waiver, effective October 20, 2025, expires October 19, 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
- October 20, 2025
- Certificate expiration
- October 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 20, 2023
- Facility type
- Other
- 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
- 05D2292193
- Lab name
- 1741 Hauser Blvd Detox LLC
- Address
- 1741 Hauser Blvd Detox Llc, Los Angeles, CA 90019
- Phone
- (310) 909-3323
Annual test volume the lab reported
- Waived tests
- 200
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 1741 Hauser Blvd Detox LLC in Los Angeles?
05D2292193, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does 1741 Hauser Blvd Detox LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2292193 expire?
The CMS file lists October 19, 2027 as the certificate expiration date; the certificate took effect October 20, 2025.