CLIA lab

CLIA 05D0966908: Ideal Health Care & Medical Clinic Inc

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

CLIA number 05D0966908 belongs to Ideal Health Care & Medical Clinic Inc in Glendale, CA.

Certificate of Waiver, effective October 27, 2025, expires October 26, 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
October 27, 2025
Certificate expiration
October 26, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 27, 1999
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D0966908
Lab name
Ideal Health Care & Medical Clinic Inc
Address
1500 S Central Ave Ste 320, Glendale, CA 91204
Phone
(818) 396-5670
Fax
(818) 396-5672

Annual test volume the lab reported

Waived tests
500

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 Ideal Health Care & Medical Clinic Inc in Glendale?

05D0966908, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ideal Health Care & Medical Clinic Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0966908 expire?

The CMS file lists October 26, 2027 as the certificate expiration date; the certificate took effect October 27, 2025.

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