CLIA lab
CLIA 05D1099142: William J Wickwire, MD Inc
Culver City, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1099142 belongs to William J Wickwire, MD Inc in Culver City, CA.
Certificate of Compliance, effective January 7, 2026, expires January 6, 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 of Compliance
- Certificate effective
- January 7, 2026
- Certificate expiration
- January 6, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 6, 2009
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1099142
- Lab name
- William J Wickwire, MD Inc
- Address
- 3831 Hughes Ave Ste, 504B, Culver City, CA 90232
- Phone
- (310) 204-3376
- Fax
- (310) 204-1877
Annual test volume the lab reported
- Provider-performed microscopy tests
- 20
- Other nonwaived tests
- 1,520
- Total
- 1,540
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Culver City, CA
- Accentcare UCLA - Culver CityCertificate of Waiver, Home health agency05D2247734
- Accord Home Health CareCertificate of Waiver, Home health agency05D2066215
- Affinity Home Health, IncCertificate of Waiver, Home health agency05D1098705
- Angeles Eye InstituteCertificate of Waiver, Physician office05D2321099
- Assisted Home Care, IncCertificate of Waiver, Hospice05D2322092
- Assisted Home Recovery, IncCertificate of Waiver, Home health agency05D0979541
- Carbon Health Medical GroupCertificate of Waiver, Physician office05D2190806
- Caring Hands Home Health Agency IncCertificate of Waiver, Home health agency05D1001642
- Cedars Sinai Medical Care FoundationCertificate of Waiver, Physician office05D2146700
- Cedars-Sinai Medical Care FoundationCertificate for Provider-Performed Microscopy Procedures, Physician office05D2098707
Related
Questions
What is the CLIA number for William J Wickwire, MD Inc in Culver City?
05D1099142, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does William J Wickwire, MD Inc hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D1099142 expire?
The CMS file lists January 6, 2028 as the certificate expiration date; the certificate took effect January 7, 2026.