CLIA lab
CLIA 05D1063079: Samaritana Medical Clinic, Inc
Los Angeles, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1063079 belongs to Samaritana Medical Clinic, Inc in Los Angeles, CA.
Certificate of Waiver, effective December 9, 2024, expires December 8, 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
- December 9, 2024
- Certificate expiration
- December 8, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 4, 2007
- 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
- 05D1063079
- Lab name
- Samaritana Medical Clinic, Inc
- Address
- 510 S Alvarado St, Los Angeles, CA 90057
- Phone
- (213) 483-3600
- Fax
- (213) 483-4555
Annual test volume the lab reported
- Waived tests
- 9,458
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 Samaritana Medical Clinic, Inc in Los Angeles?
05D1063079, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Samaritana Medical Clinic, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1063079 expire?
The CMS file lists December 8, 2026 as the certificate expiration date; the certificate took effect December 9, 2024.