CLIA lab
CLIA 05D2296760: ST Lucys Home ICF DDN
Baldwin Park, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2296760 belongs to ST Lucys Home ICF DDN in Baldwin Park, CA.
Certificate of Waiver, effective January 4, 2026, expires January 3, 2028.
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
- January 4, 2026
- Certificate expiration
- January 3, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 4, 2024
- 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
- 05D2296760
- Lab name
- ST Lucys Home ICF DDN
- Address
- 4702 Cutler Ave, Baldwin Park, CA 91706
- Phone
- (626) 814-1603
- Fax
- (626) 581-1752
Annual test volume the lab reported
- Waived tests
- 365
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Baldwin Park, CA
- 1 Community Wellness & Health IncCertificate of Waiver, Physician office05D2043487
- 986 Pharmacy #8015Certificate of Waiver, Pharmacy05D2295862
- A Plus Adult Day Health Care, IncCertificate of Waiver, Other05D0998296
- Baldwin Park DialysisCertificate of Waiver, End stage renal disease dialysis facility05D2134892
- Baldwin Park Medical ClinicCertificate of Waiver, Physician office05D2076924
- Baldwin Park-El Monte Medical GroupCertificate of Waiver, Physician office05D0866338
- Central City Commnity Health Center, IncCertificate of Waiver, Federally qualified health center05D2343066
- Central City CommunityCertificate of Waiver, Federally qualified health center05D2020372
- Central City CommunityCertificate of Waiver, Federally qualified health center05D2081416
- Coast Care Convalescent CenterCertificate of Waiver, Skilled nursing or nursing facility05D0547935
Related
Questions
What is the CLIA number for ST Lucys Home ICF DDN in Baldwin Park?
05D2296760, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does ST Lucys Home ICF DDN hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2296760 expire?
The CMS file lists January 3, 2028 as the certificate expiration date; the certificate took effect January 4, 2026.