CLIA lab
CLIA 05D0865425: 1st Integrated Care Med GRP Inc/Tabila
Long Beach, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0865425 belongs to 1st Integrated Care Med GRP Inc/Tabila in Long Beach, 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
- March 23, 1993
- Facility type
- Physician office
- 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
- 05D0865425
- Lab name
- 1st Integrated Care Med GRP Inc/Tabila
- Address
- 1339 W Willow Street, Long Beach, CA 90810
- Phone
- (310) 591-1307
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for 1st Integrated Care Med GRP Inc/Tabila in Long Beach?
05D0865425, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does 1st Integrated Care Med GRP Inc/Tabila hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0865425 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.