CLIA lab
CLIA 05D2017832: Life Line Mobile Screening
Los Angeles, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2017832 belongs to Life Line Mobile Screening in Los Angeles, CA.
Certificate of Waiver, effective December 20, 2024, expires December 19, 2026.
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
- December 20, 2024
- Certificate expiration
- December 19, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 20, 2010
- Facility type
- Health fair
- 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
- 05D2017832
- Lab name
- Life Line Mobile Screening
- Address
- 5042 Wilshire Blvd # 14249, Los Angeles, CA 90036
- Phone
- (216) 780-3684
- Fax
- (866) 697-9925
Annual test volume the lab reported
- Waived tests
- 60,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Los Angeles, CA
- 1 Method CenterCertificate of Waiver, Other05D2122141
- 1 Method CenterCertificate of Waiver, Ancillary test site05D2222235
- 1 Method CorpCertificate of Waiver, Other05D2227773
- 1 Method CorpCertificate of Waiver, Other05D2295974
- 10X Health Ventures, LLCCertificate of Waiver, Other05D2314925
- 1741 Hauser Blvd Detox LLCCertificate of Waiver, Other05D2292193
- 2080 Century Park LaboratoryCertificate of Compliance, Independent05D0669071
- 2nd Century Adult Day Hlth Care IncCertificate of Waiver, Other05D0984182
- 2nd Home Adult Health Care IncCertificate of Waiver, Other05D2344147
- 300 S Robertson Dialysis, LLCCertificate of Waiver, End stage renal disease dialysis facility05D0962071
Related
Questions
What is the CLIA number for Life Line Mobile Screening in Los Angeles?
05D2017832, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Life Line Mobile Screening hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2017832 expire?
The CMS file lists December 19, 2026 as the certificate expiration date; the certificate took effect December 20, 2024.