CLIA lab
CLIA 05D0960450: Providence Facey Medical Foundation
Porter Ranch, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0960450 belongs to Providence Facey Medical Foundation in Porter Ranch, CA.
Certificate for Provider-Performed Microscopy Procedures, effective May 10, 2025, expires May 9, 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
- May 10, 2025
- Certificate expiration
- May 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 10, 1999
- 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
- 05D0960450
- Lab name
- Providence Facey Medical Foundation
- Additional name
- #name?
- Address
- 19950 Rinaldi St, Ste 103, Porter Ranch, CA 91326
- Phone
- (818) 869-7073
Annual test volume the lab reported
- Waived tests
- 13,700
- Provider-performed microscopy tests
- 50
- Total
- 13,750
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Trinity Health Partners LLCCertificate of Waiver, Other05D2325909
- UCLA Health Porter Ranch PediatricsCertificate of Waiver, Other05D2324323
- UCLA Hematology/Oncology Porter RanchCertificate of Accreditation, Other05D2060853
- UCLA Porter Ranch Primary Care and SpecialtiesCertificate of Waiver, Other05D2066970
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Related
Questions
What is the CLIA number for Providence Facey Medical Foundation in Porter Ranch?
05D0960450, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Facey Medical Foundation hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0960450 expire?
The CMS file lists May 9, 2027 as the certificate expiration date; the certificate took effect May 10, 2025.