CLIA lab
CLIA 05D1089972: Clinica Familiar San Lucas
Lynwood, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1089972 belongs to Clinica Familiar San Lucas in Lynwood, CA.
Certificate of Waiver, effective October 22, 2024, expiration date October 21, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 22, 2024
- Certificate expiration
- October 21, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 30, 2008
- 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
- 05D1089972
- Lab name
- Clinica Familiar San Lucas
- Address
- 11050 S Atlantic Ave, Lynwood, CA 90262
- Phone
- (310) 635-3800
- Fax
- (310) 635-0364
Annual test volume the lab reported
- Waived tests
- 679
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 Clinica Familiar San Lucas in Lynwood?
05D1089972, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Clinica Familiar San Lucas hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1089972 expire?
The CMS file lists October 21, 2026 as the certificate expiration date; the certificate took effect October 22, 2024.