CLIA lab
CLIA 05D2335003: Tri-State Community Healthcare Center
Los Angeles, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2335003 belongs to Tri-State Community Healthcare Center in Los Angeles, CA.
Certificate of Waiver, effective December 4, 2025, expires December 3, 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
- December 4, 2025
- Certificate expiration
- December 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 4, 2025
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- 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
- 05D2335003
- Lab name
- Tri-State Community Healthcare Center
- Address
- 6630 Crenshaw Blvd, Los Angeles, CA 90043
- Phone
- (213) 686-1517
- Fax
- (213) 686-1518
Annual test volume the lab reported
- Waived tests
- 9,500
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 Tri-State Community Healthcare Center in Los Angeles?
05D2335003, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tri-State Community Healthcare Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2335003 expire?
The CMS file lists December 3, 2027 as the certificate expiration date; the certificate took effect December 4, 2025.