CLIA lab

CLIA 05D2009118: Miracle Women's Medical Group, Inc

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

CLIA number 05D2009118 belongs to Miracle Women's Medical Group, Inc in Van Nuys, CA.

Certificate of Waiver, effective September 25, 2025, expires September 24, 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
September 25, 2025
Certificate expiration
September 24, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 25, 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
05D2009118
Lab name
Miracle Women's Medical Group, Inc
Address
7100 Van Nuys Blvd Ste 113, Van Nuys, CA 91405
Phone
(818) 909-0004
Fax
(818) 909-0008

Annual test volume the lab reported

Waived tests
3,000

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

Other labs in Van Nuys, CA

Related

Questions

What is the CLIA number for Miracle Women's Medical Group, Inc in Van Nuys?

05D2009118, per the CMS Provider of Services file posted October 16, 2026.

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

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2009118 expire?

The CMS file lists September 24, 2027 as the certificate expiration date; the certificate took effect September 25, 2025.

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