CLIA lab
CLIA 05D0931714: Adventist Health / White Memorial
Los Angeles, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0931714 belongs to Adventist Health / White Memorial in Los Angeles, CA.
Certificate of Waiver, effective August 4, 2025, expires August 3, 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
- August 4, 2025
- Certificate expiration
- August 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 4, 1997
- 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
- 05D0931714
- Lab name
- Adventist Health / White Memorial
- Additional name
- Medical Group
- Address
- 1701 E Cesar Chavez Avenue Ste 510, Los Angeles, CA 90033
- Phone
- (323) 987-1362
- Fax
- (323) 352-8858
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.
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Related
Questions
What is the CLIA number for Adventist Health / White Memorial in Los Angeles?
05D0931714, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Adventist Health / White Memorial hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0931714 expire?
The CMS file lists August 3, 2027 as the certificate expiration date; the certificate took effect August 4, 2025.