CLIA lab
CLIA 05D2318486: Blue Moon Home Health, Inc
Pasadena, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2318486 belongs to Blue Moon Home Health, Inc in Pasadena, CA.
Certificate of Waiver, effective February 11, 2025, expires February 10, 2027.
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
- February 11, 2025
- Certificate expiration
- February 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 11, 2025
- 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
- 05D2318486
- Lab name
- Blue Moon Home Health, Inc
- Address
- 260 S Los Robles Ave, Ste 114, Pasadena, CA 91101
- Phone
- (626) 817-9040
- Fax
- (626) 817-9139
Annual test volume the lab reported
- Waived tests
- 30
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 Blue Moon Home Health, Inc in Pasadena?
05D2318486, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Blue Moon Home Health, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2318486 expire?
The CMS file lists February 10, 2027 as the certificate expiration date; the certificate took effect February 11, 2025.