CLIA lab
CLIA 05D0557605: Pediatric Affiliates Medical Group Inc
West Hills, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0557605 belongs to Pediatric Affiliates Medical Group Inc in West Hills, CA.
Certificate of Waiver, effective November 8, 2024, expires November 7, 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
- November 8, 2024
- Certificate expiration
- November 7, 2026
- 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
- 6
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0557605
- Lab name
- Pediatric Affiliates Medical Group Inc
- Address
- 22736 Vanowen St Ste 300, West Hills, CA 91307
- Phone
- (818) 361-5437
- Fax
- (626) 406-1800
Annual test volume the lab reported
- Waived tests
- 800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in West Hills, CA
- 4 Seasons Recovery IopCertificate of Waiver, Other05D2314798
- Accentcare UCLA Health LLCCertificate of Waiver, Home health agency05D2163754
- Advanced Pain Medical GroupCertificate of Waiver, Physician office05D1073273
- Advanced Pain Surgical CenterCertificate of Waiver, Ambulatory surgery center05D1075135
- Agoura-West Valley PediatricCertificate of Waiver, Physician office05D0557570
- Ann Shahwan MDCertificate of Waiver, Physician office05D2090904
- Blair S Kranson MDCertificate of Compliance, Physician office05D0857715
- Eugene Dula MD IncCertificate for Provider-Performed Microscopy Procedures, Physician office05D2326302
- Exer Medical CorporationCertificate of Compliance, Other05D2178989
- Expert DermatologyCertificate of Compliance, Physician office05D2161972
Related
Questions
What is the CLIA number for Pediatric Affiliates Medical Group Inc in West Hills?
05D0557605, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pediatric Affiliates Medical Group Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0557605 expire?
The CMS file lists November 7, 2026 as the certificate expiration date; the certificate took effect November 8, 2024.