CLIA lab

CLIA 05D0972393: Ob-Gyn Medical Group

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

CLIA number 05D0972393 belongs to Ob-Gyn Medical Group in Glendale, CA.

Certificate of Waiver, effective July 9, 2025, expires July 8, 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
July 9, 2025
Certificate expiration
July 8, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 5, 2000
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
05D0972393
Lab name
Ob-Gyn Medical Group
Address
1809 Verdugo Blvd Ste 350, Glendale, CA 91208
Phone
(818) 790-8121
Fax
(818) 952-0926

Annual test volume the lab reported

Waived tests
600

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 Ob-Gyn Medical Group in Glendale?

05D0972393, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ob-Gyn Medical Group hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0972393 expire?

The CMS file lists July 8, 2027 as the certificate expiration date; the certificate took effect July 9, 2025.

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