CLIA lab

CLIA 05D2301174: Clinica Medica San Judas Tadeo

Inglewood, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2301174 belongs to Clinica Medica San Judas Tadeo in Inglewood, CA.

Certificate of Waiver, effective March 21, 2026, expires March 20, 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
March 21, 2026
Certificate expiration
March 20, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 21, 2024
Facility type
Community clinic
Ownership (control type)
Other
Lab classification
CLIA laboratory
Directly affiliated labs
3

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D2301174
Lab name
Clinica Medica San Judas Tadeo
Address
501 E Hardy Street Ste 110, Inglewood, CA 90301
Phone
(424) 800-2124
Fax
(424) 800-2454

Annual test volume the lab reported

Waived tests
600

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Inglewood, CA

Related

Questions

What is the CLIA number for Clinica Medica San Judas Tadeo in Inglewood?

05D2301174, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Clinica Medica San Judas Tadeo hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2301174 expire?

The CMS file lists March 20, 2028 as the certificate expiration date; the certificate took effect March 21, 2026.

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