CLIA lab
CLIA 05D2305417: Annandale Behavioral Health, LLC
Pasadena, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2305417 belongs to Annandale Behavioral Health, LLC in Pasadena, CA.
Certificate of Waiver, effective May 30, 2026, expires May 29, 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
- May 30, 2026
- Certificate expiration
- May 29, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 30, 2024
- 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
- 05D2305417
- Lab name
- Annandale Behavioral Health, LLC
- Address
- 1280 Afton St, Pasadena, CA 91103
- Phone
- (310) 922-2264
Annual test volume the lab reported
- Waived tests
- 300
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 Annandale Behavioral Health, LLC in Pasadena?
05D2305417, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Annandale Behavioral Health, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2305417 expire?
The CMS file lists May 29, 2028 as the certificate expiration date; the certificate took effect May 30, 2026.