CLIA lab
CLIA 05D0975505: Michael F Mellman MD
El Segundo, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0975505 belongs to Michael F Mellman MD in El Segundo, CA.
Certificate of Waiver, effective July 10, 2026, expires July 9, 2028.
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 10, 2026
- Certificate expiration
- July 9, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 10, 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
- 05D0975505
- Lab name
- Michael F Mellman MD
- Address
- 390 N Sepulveda Blvd Ste 1065, El Segundo, CA 90245
- Phone
- (310) 643-7494
- Fax
- (310) 643-7498
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in El Segundo, CA
- Boeing CompanyCertificate of Waiver, Other05D0862487
- Cedars-Sinai Medical Care FoundationCertificate of Waiver, Physician office05D0979068
- Chan Soon-Shiong Institute for MedicineCertificate of Accreditation, Physician office05D2144811
- Chevron Refinery Clinic -El SegundoCertificate of Waiver, Industrial05D0689540
- Concentra - El Segundo LaxCertificate of Waiver, Physician office05D0903814
- El Segundo Dermatology IncCertificate of Compliance, Physician office05D2113648
- El Segundo Endoscopy Center LLCCertificate of Waiver, Ambulatory surgery center05D2264119
- Goodlife Physical MedicineCertificate of Waiver, Physician office05D2188514
- Love Life MedicalCertificate of Waiver, Physician office05D2307224
- Millenium Health and Fitness, IncCertificate of Waiver, Health fair05D2272797
Related
Questions
What is the CLIA number for Michael F Mellman MD in El Segundo?
05D0975505, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Michael F Mellman MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0975505 expire?
The CMS file lists July 9, 2028 as the certificate expiration date; the certificate took effect July 10, 2026.