CLIA lab
CLIA 05D0864748: Centinela Medical Group
Los Angeles, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0864748 belongs to Centinela Medical Group in Los Angeles, CA.
Certificate of Waiver, effective June 11, 2026, expires June 10, 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 RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- June 11, 2026
- Certificate expiration
- June 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 18, 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
- 05D0864748
- Lab name
- Centinela Medical Group
- Address
- 12900 S Avalon Blvd, Los Angeles, CA 90061
- Phone
- (310) 538-5222
- Fax
- (310) 532-7888
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Los Angeles, CA
- 1 Method CenterCertificate of Waiver, Other05D2122141
- 1 Method CenterCertificate of Waiver, Ancillary test site05D2222235
- 1 Method CorpCertificate of Waiver, Other05D2227773
- 1 Method CorpCertificate of Waiver, Other05D2295974
- 10X Health Ventures, LLCCertificate of Waiver, Other05D2314925
- 1741 Hauser Blvd Detox LLCCertificate of Waiver, Other05D2292193
- 2080 Century Park LaboratoryCertificate of Compliance, Independent05D0669071
- 2nd Century Adult Day Hlth Care IncCertificate of Waiver, Other05D0984182
- 2nd Home Adult Health Care IncCertificate of Waiver, Other05D2344147
- 300 S Robertson Dialysis, LLCCertificate of Waiver, End stage renal disease dialysis facility05D0962071
Related
Questions
What is the CLIA number for Centinela Medical Group in Los Angeles?
05D0864748, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Centinela Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0864748 expire?
The CMS file lists June 10, 2028 as the certificate expiration date; the certificate took effect June 11, 2026.