CLIA lab

CLIA 05D2311364: Saint Victoria Home Care

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

CLIA number 05D2311364 belongs to Saint Victoria Home Care in Pasadena, CA.

Certificate of Waiver, effective September 20, 2026, expires September 19, 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
September 20, 2026
Certificate expiration
September 19, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 20, 2024
Facility type
Home health agency
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
05D2311364
Lab name
Saint Victoria Home Care
Address
133 N Altadena Dr, Suite 304, Pasadena, CA 91107
Phone
(877) 771-1744

Annual test volume the lab reported

Waived tests
45

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 Saint Victoria Home Care in Pasadena?

05D2311364, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Saint Victoria Home Care hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2311364 expire?

The CMS file lists September 19, 2028 as the certificate expiration date; the certificate took effect September 20, 2026.

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