CLIA lab
CLIA 05D1063098: Kids and Teens Medical Group
Canyon Country, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1063098 belongs to Kids and Teens Medical Group in Canyon Country, CA.
Certificate of Waiver, effective January 4, 2025, expires January 3, 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
- January 4, 2025
- Certificate expiration
- January 3, 2027
- 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
- Directly affiliated labs
- 6
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1063098
- Lab name
- Kids and Teens Medical Group
- Additional name
- Janesri De Silva, MD
- Address
- 20655 Soledad Canyon Rd, Suite 25, Canyon Country, CA 91351
- Phone
- (818) 361-5437
- Fax
- (626) 406-1800
Annual test volume the lab reported
- Waived tests
- 480
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Canyon Country, CA
- Canyon Country Dialysis Center LLCCertificate of Waiver, End stage renal disease dialysis facility05D1033068
- Golden Oak PediatricsCertificate of Waiver, Physician office05D2275948
- Rochelle C Feldman MDCertificate of Waiver, Physician office05D0967873
- Samuel Dixon Family Health Center IncCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D0978100
- Smart Clinic IncCertificate for Provider-Performed Microscopy Procedures, Other05D2118168
- Valencia Home Health Care, LLCCertificate of Waiver, Home health agency05D2128375
Related
Questions
What is the CLIA number for Kids and Teens Medical Group in Canyon Country?
05D1063098, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kids and Teens Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1063098 expire?
The CMS file lists January 3, 2027 as the certificate expiration date; the certificate took effect January 4, 2025.