CLIA lab
CLIA 05D0642564: Endoscopy Center of Southern
Santa Monica, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0642564 belongs to Endoscopy Center of Southern in Santa Monica, CA.
Certificate of Waiver, effective November 16, 2024, expires November 15, 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 16, 2024
- Certificate expiration
- November 15, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 17, 1993
- Facility type
- Other
- 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
- 05D0642564
- Lab name
- Endoscopy Center of Southern
- Additional name
- California
- Address
- 2336 Santa Monica Blvd, Ste #204, Santa Monica, CA 90404
- Phone
- (310) 453-4477
- Fax
- (310) 935-3163
Annual test volume the lab reported
- Waived tests
- 569
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 Endoscopy Center of Southern in Santa Monica?
05D0642564, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Endoscopy Center of Southern hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0642564 expire?
The CMS file lists November 15, 2026 as the certificate expiration date; the certificate took effect November 16, 2024.