CLIA lab
CLIA 05D2019226: Jwch Medical Clinic (DWC)
Los Angeles, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2019226 belongs to Jwch Medical Clinic (DWC) in Los Angeles, CA.
Certificate of Waiver, effective January 25, 2025, expires January 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
- January 25, 2025
- Certificate expiration
- January 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 25, 2011
- Facility type
- Community clinic
- Ownership (control type)
- Private
- 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
- 05D2019226
- Lab name
- Jwch Medical Clinic (DWC)
- Address
- 442 S San Pedro St, Los Angeles, CA 90013
- Phone
- (213) 484-1186
- Fax
- (213) 413-3443
Annual test volume the lab reported
- Waived tests
- 1,000
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 Jwch Medical Clinic (DWC) in Los Angeles?
05D2019226, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jwch Medical Clinic (DWC) hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2019226 expire?
The CMS file lists January 24, 2027 as the certificate expiration date; the certificate took effect January 25, 2025.