CLIA lab

CLIA 05D0683657: Northeast Valley Health Corporation-

San Fernando, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D0683657 belongs to Northeast Valley Health Corporation- in San Fernando, CA.

Certificate for Provider-Performed Microscopy Procedures, effective September 1, 2026, expires August 31, 2028.

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 for Provider-Performed Microscopy Procedures
Certificate effective
September 1, 2026
Certificate expiration
August 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
December 28, 1992
Facility type
Community clinic
Ownership (control type)
Private
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
05D0683657
Lab name
Northeast Valley Health Corporation-
Additional name
School Base Clinic
Address
11051 N O'melveny Ave, San Fernando, CA 91340
Phone
(818) 365-7517
Fax
(818) 837-6342

Annual test volume the lab reported

Waived tests
487
Provider-performed microscopy tests
150
Total
637

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 Northeast Valley Health Corporation- in San Fernando?

05D0683657, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Northeast Valley Health Corporation- hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 05D0683657 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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