CLIA lab
CLIA 05D1095149: Harbor-Ucla Family Medicine
Harbor City, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1095149 belongs to Harbor-Ucla Family Medicine in Harbor City, CA.
Certificate of Waiver, effective February 3, 2025, expires February 2, 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
- February 3, 2025
- Certificate expiration
- February 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 3, 2009
- Facility type
- Community clinic
- Ownership (control type)
- Government, county
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1095149
- Lab name
- Harbor-Ucla Family Medicine
- Address
- 1403 Lomita Blvd, 2nd Floor, Harbor City, CA 90710
- Phone
- (424) 306-6271
Annual test volume the lab reported
- Waived tests
- 4,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Harbor City, CA
- Bio-Medical Applications of California IncCertificate of Waiver, End stage renal disease dialysis facility05D2113176
- CB Carehome IncCertificate of Waiver, Other05D2138093
- Fresenius Medical Care of South BayCertificate of Waiver, End stage renal disease dialysis facility05D1025755
- Kaiser Foundation Hospital /Certificate of Accreditation, Health maintenance organization05D0686400
- Kaiser Foundation Hospital South BayCertificate of Waiver, Health maintenance organization05D0892698
- Kaiser Foundation Hospital South Bay LaboratoryCertificate of Accreditation, Health maintenance organization05D0553065
- Lomita Health Management IncCertificate of Waiver, Other05D1008879
- Scpmg Coastline Medical OfficesCertificate for Provider-Performed Microscopy Procedures, Health maintenance organization05D2111094
- Scpmg Normandie North Medical OfficeCertificate for Provider-Performed Microscopy Procedures, Health maintenance organization05D0867184
- Scpmg Parkview Medical OfficeCertificate of Waiver, Health maintenance organization05D0892701
Related
Questions
What is the CLIA number for Harbor-Ucla Family Medicine in Harbor City?
05D1095149, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Harbor-Ucla Family Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1095149 expire?
The CMS file lists February 2, 2027 as the certificate expiration date; the certificate took effect February 3, 2025.