CLIA lab

CLIA 05D0954764: Los Ninos Childrens Medical Clinic

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

CLIA number 05D0954764 belongs to Los Ninos Childrens Medical Clinic in West Covina, CA.

Certificate of Waiver, effective December 8, 2024, expires December 7, 2026.

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
December 8, 2024
Certificate expiration
December 7, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 8, 1998
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
05D0954764
Lab name
Los Ninos Childrens Medical Clinic
Address
409 E Merced Avenue, Suite A, West Covina, CA 91790
Phone
(626) 931-0901
Fax
(626) 431-0405

Annual test volume the lab reported

Waived tests
100

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

Other labs in West Covina, CA

Related

Questions

What is the CLIA number for Los Ninos Childrens Medical Clinic in West Covina?

05D0954764, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Los Ninos Childrens Medical Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0954764 expire?

The CMS file lists December 7, 2026 as the certificate expiration date; the certificate took effect December 8, 2024.

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