CLIA lab
CLIA 05D1013792: Mark Song MD PHD Inc
Los Angeles, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1013792 belongs to Mark Song MD PHD Inc in Los Angeles, CA.
Certificate for Provider-Performed Microscopy Procedures, effective June 17, 2025, expires June 16, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- June 17, 2025
- Certificate expiration
- June 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 17, 2003
- 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
- 05D1013792
- Lab name
- Mark Song MD PHD Inc
- Address
- 3663 W 6th St Ste 307, Los Angeles, CA 90020
- Phone
- (213) 736-1884
- Fax
- (213) 736-1885
Annual test volume the lab reported
- Waived tests
- 2,000
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 Mark Song MD PHD Inc in Los Angeles?
05D1013792, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mark Song MD PHD Inc hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D1013792 expire?
The CMS file lists June 16, 2027 as the certificate expiration date; the certificate took effect June 17, 2025.