CLIA lab
CLIA 05D2299776: Providence Medical Institute
Redondo Beach, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2299776 belongs to Providence Medical Institute in Redondo Beach, CA.
Certificate for Provider-Performed Microscopy Procedures, effective February 27, 2026, expires February 26, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- February 27, 2026
- Certificate expiration
- February 26, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 27, 2024
- Facility type
- Physician office
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2299776
- Lab name
- Providence Medical Institute
- Address
- 520 N Prospect Ave Suite 307, Redondo Beach, CA 90277
- Phone
- (310) 792-5050
- Fax
- (310) 543-3154
Annual test volume the lab reported
- Provider-performed microscopy tests
- 10
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Redondo Beach, CA
- Attain Health Home Health, IncCertificate of Waiver, Home health agency05D2107457
- Beach Cities Medicine, LLCCertificate of Waiver, Physician office05D2270856
- Beach District Surgery CenterCertificate of Waiver, Ambulatory surgery center05D1053350
- Carbon Health Medical Group of California, PCCertificate of Waiver, Physician office05D2242427
- Clear Recovery CenterCertificate of Waiver, Other05D2110005
- Clear Recovery CenterCertificate of Waiver, Other05D2198375
- Clear Recovery CenterCertificate of Waiver, Other05D2198376
- Clear Recovery Center - 326 N Prospect AveCertificate of Waiver, Other05D2336163
- Cor Redondo BeachCertificate of Waiver, Ancillary test site05D2050337
- Dr.Paul's Immediate CareCertificate of Waiver, Physician office05D2297477
Related
Questions
What is the CLIA number for Providence Medical Institute in Redondo Beach?
05D2299776, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Medical Institute hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D2299776 expire?
The CMS file lists February 26, 2028 as the certificate expiration date; the certificate took effect February 27, 2026.