CLIA lab
CLIA 05D1032697: Lakeside Medical Organization, A Medical GRP Inc
Burbank, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1032697 belongs to Lakeside Medical Organization, A Medical GRP Inc in Burbank, CA.
Certificate of Compliance, effective August 19, 2025, expires August 18, 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 Compliance
- Certificate effective
- August 19, 2025
- Certificate expiration
- August 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 28, 2004
- Facility type
- Other
- 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
- 05D1032697
- Lab name
- Lakeside Medical Organization, A Medical GRP Inc
- Address
- 191 S Buena Vista St, Ste 150, Burbank, CA 91505
- Phone
- (818) 295-5920
- Fax
- (818) 295-6965
Annual test volume the lab reported
- Other nonwaived tests
- 6,072
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- A Center for VisioncareCertificate of Waiver, Physician office05D2045611
- A&j Home Health Care IncCertificate of Waiver, Home health agency05D2292154
- A1 Unlimited Home Health Care, IncCertificate of Waiver, Home health agency05D2013559
- Aaa Home Health Services IncCertificate of Waiver, Home health agency05D1033071
- Aaron J Epstein, MD IncCertificate of Waiver, Physician office05D2319466
- Accumed Laboratories LLCCertificate of Registration, Independent05D2258383
- Active Hospice Care IncCertificate of Waiver, Hospice05D1021935
- Acuity LabsCertificate of Waiver, Independent05D2344569
- Adk Home Health IncCertificate of Waiver, Home health agency05D2261196
Related
Questions
What is the CLIA number for Lakeside Medical Organization, A Medical GRP Inc in Burbank?
05D1032697, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lakeside Medical Organization, A Medical GRP Inc hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D1032697 expire?
The CMS file lists August 18, 2027 as the certificate expiration date; the certificate took effect August 19, 2025.