CLIA lab
CLIA 05D1019530: Lake View Adhc
Lake View Terrace, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1019530 belongs to Lake View Adhc in Lake View Terrace, CA.
Certificate of Waiver, effective November 20, 2025, expires November 19, 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
- November 20, 2025
- Certificate expiration
- November 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 20, 2003
- Facility type
- Other
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1019530
- Lab name
- Lake View Adhc
- Address
- 12040 Foothill Blvd Ste 110-115, Lake View Terrace, CA 91342
- Phone
- (818) 890-3133
- Fax
- (818) 890-3163
Annual test volume the lab reported
- Waived tests
- 2,700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Lake View Terrace, CA
Related
Questions
What is the CLIA number for Lake View Adhc in Lake View Terrace?
05D1019530, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake View Adhc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1019530 expire?
The CMS file lists November 19, 2027 as the certificate expiration date; the certificate took effect November 20, 2025.