CLIA lab
CLIA 05D0557721: Brian Fenmore MD
Tarzana, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0557721 belongs to Brian Fenmore MD in Tarzana, CA.
Certificate of Waiver, effective December 28, 2024, expires December 27, 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
- December 28, 2024
- Certificate expiration
- December 27, 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
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0557721
- Lab name
- Brian Fenmore MD
- Address
- 18344 Clark Street #202, Tarzana, CA 91356
- Phone
- (818) 708-8011
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Aa Home Health Care ServicesCertificate of Waiver, Home health agency05D2342819
- Advanced Institute for Obstetrics andCertificate for Provider-Performed Microscopy Procedures, Other practitioner05D1021332
- All State Patient CareCertificate of Waiver, Home health agency05D2308189
- Allergy Asthma Care Center, Inc.Certificate of Waiver, Physician office05D2127936
- American Urgent Care CenterCertificate of Waiver, Other05D2138090
- Attentive Home Health IncCertificate of Waiver, Home health agency05D2190142
- Autumn Hill Behavioral Heath II, LLCCertificate of Waiver, Ancillary test site05D2335226
- Autumn Hills Behavioral Health, LLCCertificate of Waiver, Ancillary test site05D2325127
- Avanguard Surgery CenterCertificate of Waiver, Ambulatory surgery center05D1059354
Related
Questions
What is the CLIA number for Brian Fenmore MD in Tarzana?
05D0557721, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Brian Fenmore MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0557721 expire?
The CMS file lists December 27, 2026 as the certificate expiration date; the certificate took effect December 28, 2024.