CLIA lab

CLIA 05D0926517: Kids and Teens Medical Group

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

CLIA number 05D0926517 belongs to Kids and Teens Medical Group in Culver City, CA.

Certificate of Waiver, effective March 25, 2025, expires March 24, 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 of Waiver
Certificate effective
March 25, 2025
Certificate expiration
March 24, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 25, 1997
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
05D0926517
Lab name
Kids and Teens Medical Group
Address
3831 Hughes Ave, Suite 602, Culver City, CA 90232
Phone
(818) 361-5437
Fax
(626) 406-1800

Annual test volume the lab reported

Waived tests
450

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

Affiliated CLIA numbers

Other labs in Culver City, CA

Related

Questions

What is the CLIA number for Kids and Teens Medical Group in Culver City?

05D0926517, 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 05D0926517 expire?

The CMS file lists March 24, 2027 as the certificate expiration date; the certificate took effect March 25, 2025.

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