CLIA lab

CLIA 05D0694228: Grancell Village of the Los Angeles

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

CLIA number 05D0694228 belongs to Grancell Village of the Los Angeles in Reseda, 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

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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
July 29, 1993
Facility type
Other
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
05D0694228
Lab name
Grancell Village of the Los Angeles
Additional name
Jewish Home
Address
7150 Tampa Ave, Reseda, CA 91335
Phone
(818) 774-3000
Fax
(818) 757-4408

Annual test volume the lab reported

Waived tests
31,390

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

Other labs in Reseda, CA

Related

Questions

What is the CLIA number for Grancell Village of the Los Angeles in Reseda?

05D0694228, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Grancell Village of the Los Angeles hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0694228 expire?

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

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