CLIA lab
CLIA 05D1083560: Jwch Medical Clinic (Covenant House)
Los Angeles, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1083560 belongs to Jwch Medical Clinic (Covenant House) in Los Angeles, CA.
Certificate for Provider-Performed Microscopy Procedures, effective May 5, 2026, expires May 4, 2028.
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
- May 5, 2026
- Certificate expiration
- May 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 5, 2008
- Facility type
- Federally qualified health center
- Ownership (control type)
- Private
- 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
- 05D1083560
- Lab name
- Jwch Medical Clinic (Covenant House)
- Address
- 1325 N Western Ave, Los Angeles, CA 90027
- Phone
- (213) 484-1186
- Fax
- (213) 413-3443
Annual test volume the lab reported
- Waived tests
- 600
- Provider-performed microscopy tests
- 200
- Total
- 800
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 Jwch Medical Clinic (Covenant House) in Los Angeles?
05D1083560, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jwch Medical Clinic (Covenant House) hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D1083560 expire?
The CMS file lists May 4, 2028 as the certificate expiration date; the certificate took effect May 5, 2026.