CLIA lab

CLIA 05D2330553: Keck Medicine of Usc Surgery Center-Pasadena LLC

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

CLIA number 05D2330553 belongs to Keck Medicine of Usc Surgery Center-Pasadena LLC in Pasadena, CA.

Certificate of Waiver, effective September 18, 2025, expires September 17, 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
September 18, 2025
Certificate expiration
September 17, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 18, 2025
Facility type
Ambulatory surgery center
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
05D2330553
Lab name
Keck Medicine of Usc Surgery Center-Pasadena LLC
Address
590 S Fair Oaks Ave, Pasadena, CA 91105
Phone
(805) 679-6698

Annual test volume the lab reported

Waived tests
500

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 Keck Medicine of Usc Surgery Center-Pasadena LLC in Pasadena?

05D2330553, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Keck Medicine of Usc Surgery Center-Pasadena LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2330553 expire?

The CMS file lists September 17, 2027 as the certificate expiration date; the certificate took effect September 18, 2025.

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