CLIA lab
CLIA 05D0705873: Kids and Teens Medical Group
La Mirada, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0705873 belongs to Kids and Teens Medical Group in La Mirada, CA.
Certificate of Waiver, effective June 14, 2026, expires June 13, 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
- June 14, 2026
- Certificate expiration
- June 13, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 6
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0705873
- Lab name
- Kids and Teens Medical Group
- Address
- 12675 La Mirada Blvd #200, La Mirada, CA 90638
- Phone
- (818) 361-5437
- Fax
- (616) 406-1800
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in La Mirada, CA
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D0687004
- Agile Occupational Medicine, PCCertificate of Waiver, Physician office05D2331789
- Akeso Occupational Health - La MiradaCertificate of Waiver, Physician office05D2316727
- Alternative Health Care, LLCCertificate of Waiver, Home health agency05D2040359
- Care Center Home HealthCertificate of Waiver, Home health agency05D1012495
- Carelon HealthCertificate of Waiver, Physician office05D2004960
- Caremore Medical Group IncCertificate of Waiver, Physician office05D0869428
- Henry Winn MDCertificate of Waiver, Physician office05D0937636
- Imperial Healthcare CenterCertificate of Waiver, Skilled nursing or nursing facility05D0726203
- Imperial Primary CareCertificate of Waiver, Physician office05D0981364
Related
Questions
What is the CLIA number for Kids and Teens Medical Group in La Mirada?
05D0705873, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kids and Teens Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0705873 expire?
The CMS file lists June 13, 2028 as the certificate expiration date; the certificate took effect June 14, 2026.