CLIA lab

CLIA 05D1099629: Reseda Medical Clinic

Reseda, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D1099629 belongs to Reseda Medical Clinic in Reseda, CA.

Certificate of Waiver, effective May 19, 2025, expires May 18, 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
May 19, 2025
Certificate expiration
May 18, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 19, 2009
Facility type
Community clinic
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
05D1099629
Lab name
Reseda Medical Clinic
Address
18355 Sherman Way 1st Floor, Reseda, CA 91335
Phone
(818) 343-0964
Fax
(818) 343-0768

Annual test volume the lab reported

Waived tests
200

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Reseda, CA

Related

Questions

What is the CLIA number for Reseda Medical Clinic in Reseda?

05D1099629, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Reseda Medical Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1099629 expire?

The CMS file lists May 18, 2027 as the certificate expiration date; the certificate took effect May 19, 2025.

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