CLIA lab

CLIA 05D0693597: Healthline Medical Group

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

CLIA number 05D0693597 belongs to Healthline Medical Group in Van Nuys, CA.

Certificate of Waiver, effective August 13, 2025, expires August 12, 2027.

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
August 13, 2025
Certificate expiration
August 12, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 5, 1993
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
05D0693597
Lab name
Healthline Medical Group
Address
15211 Vanowen St, Ste 105, Van Nuys, CA 91405
Phone
(818) 997-7711
Fax
(818) 997-3744

Annual test volume the lab reported

Waived tests
8,000

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

Other labs in Van Nuys, CA

Related

Questions

What is the CLIA number for Healthline Medical Group in Van Nuys?

05D0693597, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Healthline Medical Group hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0693597 expire?

The CMS file lists August 12, 2027 as the certificate expiration date; the certificate took effect August 13, 2025.

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