CLIA lab

CLIA 05D2316237: Evergreen Health Care Services

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

CLIA number 05D2316237 belongs to Evergreen Health Care Services in North Hollywood, CA.

Certificate of Waiver, effective December 31, 2024, expires December 30, 2026.

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
December 31, 2024
Certificate expiration
December 30, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 31, 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
05D2316237
Lab name
Evergreen Health Care Services
Address
12444 Victory Blvd, Suite 411-G, North Hollywood, CA 91606
Phone
(818) 304-8020
Fax
(818) 855-8497

Annual test volume the lab reported

Waived tests
35

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

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Questions

What is the CLIA number for Evergreen Health Care Services in North Hollywood?

05D2316237, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Evergreen Health Care Services hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2316237 expire?

The CMS file lists December 30, 2026 as the certificate expiration date; the certificate took effect December 31, 2024.

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