CLIA lab
CLIA 05D1006168: Vasek Polak Children's Clinic Family Health Center
Long Beach, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1006168 belongs to Vasek Polak Children's Clinic Family Health Center in Long Beach, CA.
Certificate of Waiver, effective November 8, 2024, expires November 7, 2026.
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
- November 8, 2024
- Certificate expiration
- November 7, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 8, 2002
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1006168
- Lab name
- Vasek Polak Children's Clinic Family Health Center
- Address
- 1057 Pine Ave, Long Beach, CA 90813
- Phone
- (562) 264-3563
- Fax
- (562) 366-5920
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Long Beach, CA
- 1st Integrated Care Med GRP Inc/TabilaCertificate of Waiver, Physician office05D0865425
- Adoracion Reyes MDCertificate of Waiver, Physician office05D0972608
- Advanced Pain Medical Group IncCertificate of Waiver, Physician office05D2202985
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D2345897
- Ajay G Meka MD IncCertificate of Waiver, Physician office05D2230610
- Ajay G Meka, MD IncCertificate of Waiver, Physician office05D2005321
- Akua Mind and BodyCertificate of Waiver, Other05D2248787
- Alamitos-Belmont Health and RehabilitationCertificate of Waiver, Skilled nursing or nursing facility05D0677689
- Alan Heller MDCertificate of Compliance, Physician office05D0554055
- Alexus Home Healthcare IncCertificate of Waiver, Home health agency05D0948710
Related
Questions
What is the CLIA number for Vasek Polak Children's Clinic Family Health Center in Long Beach?
05D1006168, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Vasek Polak Children's Clinic Family Health Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1006168 expire?
The CMS file lists November 7, 2026 as the certificate expiration date; the certificate took effect November 8, 2024.