CLIA lab
CLIA 05D1104938: Southern California Hospital
Van Nuys, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1104938 belongs to Southern California Hospital in Van Nuys, CA.
Certificate of Waiver, effective February 2, 2026, expires February 1, 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 Waiver
- Certificate effective
- February 2, 2026
- Certificate expiration
- February 1, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 14, 2009
- Facility type
- Hospital
- Ownership (control type)
- Proprietary
- 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
- 05D1104938
- Lab name
- Southern California Hospital
- Additional name
- At Van Nuys
- Address
- 14433 Emelita Street, Van Nuys, CA 91401
- Phone
- (310) 357-0271
- Fax
- (310) 815-5010
Annual test volume the lab reported
- Waived tests
- 5,504
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Van Nuys, CA
- 5 Star Home Health CareCertificate of Waiver, Home health agency05D2309269
- A S H C Hospice Care IncCertificate of Waiver, Hospice05D2213279
- A&l Medical Center, IncCertificate of Waiver, Physician office05D2343005
- A-Biz Health Systems IncCertificate of Waiver, Home health agency05D2095744
- Advanced Quality Home Care IncCertificate of Waiver, Home health agency05D2303017
- Ae Urgent Care - Van NuysCertificate of Waiver, Physician office05D2289272
- Age Home Health CareCertificate of Waiver, Home health agency05D2343365
- All Inclusive Home CareCertificate of Waiver, Home health agency05D2292890
- All Linked Home Health, IncCertificate of Waiver, Home health agency05D2112938
- All in One Hospice Care IncCertificate of Waiver, Hospice05D2023717
Related
Questions
What is the CLIA number for Southern California Hospital in Van Nuys?
05D1104938, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southern California Hospital hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1104938 expire?
The CMS file lists February 1, 2028 as the certificate expiration date; the certificate took effect February 2, 2026.