CLIA lab
CLIA 05D0906648: Mai Tuyet Phan Medical Clinic
Reseda, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0906648 belongs to Mai Tuyet Phan Medical Clinic in Reseda, CA.
Certificate for Provider-Performed Microscopy Procedures, effective March 1, 2025, expires February 28, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- March 1, 2025
- Certificate expiration
- February 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 3, 1995
- 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
- 05D0906648
- Lab name
- Mai Tuyet Phan Medical Clinic
- Address
- 18625 Sherman Way, Suite 104, Reseda, CA 91335
- Phone
- (818) 342-8171
Annual test volume the lab reported
- Waived tests
- 3,750
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 Mai Tuyet Phan Medical Clinic in Reseda?
05D0906648, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mai Tuyet Phan Medical Clinic hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0906648 expire?
The CMS file lists February 28, 2027 as the certificate expiration date; the certificate took effect March 1, 2025.