CLIA lab

CLIA 05D2007573: Women's Pavilion Medical Group Inc

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

CLIA number 05D2007573 belongs to Women's Pavilion Medical Group Inc in Burbank, CA.

Certificate of Waiver, effective March 6, 2025, expires March 5, 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
March 6, 2025
Certificate expiration
March 5, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 19, 2010
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
05D2007573
Lab name
Women's Pavilion Medical Group Inc
Address
191 S Buena Vista St #340, Burbank, CA 91505
Phone
(818) 559-7500
Fax
(818) 559-6453

Annual test volume the lab reported

Waived tests
900

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 Women's Pavilion Medical Group Inc in Burbank?

05D2007573, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Women's Pavilion Medical Group Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2007573 expire?

The CMS file lists March 5, 2027 as the certificate expiration date; the certificate took effect March 6, 2025.

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