CLIA lab

CLIA 05D0991866: Kids and Teens Medical Group

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

CLIA number 05D0991866 belongs to Kids and Teens Medical Group in Mission Hills, CA.

Certificate of Waiver, effective April 18, 2026, expires April 17, 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
April 18, 2026
Certificate expiration
April 17, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
October 1, 2001
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
6

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

Lab and contact

CLIA number
05D0991866
Lab name
Kids and Teens Medical Group
Additional name
#name?
Address
10200 Sepulveda Blvd Ste 220, Mission Hills, CA 91345
Phone
(818) 361-5437
Fax
(626) 406-1800

Annual test volume the lab reported

Waived tests
480

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

Affiliated CLIA numbers

Other labs in Mission Hills, CA

Related

Questions

What is the CLIA number for Kids and Teens Medical Group in Mission Hills?

05D0991866, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kids and Teens Medical Group hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0991866 expire?

The CMS file lists April 17, 2028 as the certificate expiration date; the certificate took effect April 18, 2026.

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