CLIA lab
CLIA 05D0557261: Pediatric Affiliates Medical Group
Agoura Hills, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0557261 belongs to Pediatric Affiliates Medical Group in Agoura Hills, CA.
Certificate of Waiver, effective January 25, 2025, expires January 24, 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
- January 25, 2025
- Certificate expiration
- January 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0557261
- Lab name
- Pediatric Affiliates Medical Group
- Address
- 29525 Canwood St Ste 111, Agoura Hills, CA 91301
- Phone
- (818) 706-8133
- Fax
- (818) 597-0806
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Agoura Hills, CA
- Advanced Dermatology CareCertificate of Compliance, Physician office05D0978114
- Agoura Hills Urgentocare, PCCertificate of Waiver, Other05D2182741
- Agoura Neurofeedback IncCertificate of Waiver, Comprehensive outpatient rehab facility05D2076655
- Agoura West Valley Pediatric Medical GroupCertificate of Waiver, Physician office05D0680632
- Alexanian Medical LaboratoriesCertificate of Compliance, Independent05D2189712
- Bente H Berman MDCertificate of Compliance, Physician office05D0865101
- Carmenta Surgical CenterCertificate of Waiver, Ambulatory surgery center05D2160519
- Center for Whole Health, theCertificate of Waiver, Physician office05D2104824
- Centurion Surgical Center, Inc.Certificate of Waiver, Ambulatory surgery center05D2118541
- Clementine Malibu LakeCertificate of Waiver, Other05D2159905
Related
Questions
What is the CLIA number for Pediatric Affiliates Medical Group in Agoura Hills?
05D0557261, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pediatric Affiliates Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0557261 expire?
The CMS file lists January 24, 2027 as the certificate expiration date; the certificate took effect January 25, 2025.