CLIA lab

CLIA 05D0693005: Glendale CV Operating Company

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

CLIA number 05D0693005 belongs to Glendale CV Operating Company in Glendale, CA.

Certificate of Waiver, 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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
September 1, 2026
Certificate expiration
August 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 13, 1993
Facility type
Skilled nursing or nursing facility
Ownership (control type)
Private
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
05D0693005
Lab name
Glendale CV Operating Company
Additional name
DBA Country Villa Glendale HCC
Address
1208 South Central Avenue, Glendale, CA 91204
Phone
(818) 246-5516
Fax
(818) 246-9853

Annual test volume the lab reported

Waived tests
400

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Care facility at this address

Other labs in Glendale, CA

Related

Questions

What is the CLIA number for Glendale CV Operating Company in Glendale?

05D0693005, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Glendale CV Operating Company hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0693005 expire?

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

Try it on your own data today.

Free to start. Most teams are using it the same day.