CLIA lab
CLIA 05D2024522: Providence Medical Institute
Burbank, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2024522 belongs to Providence Medical Institute in Burbank, CA.
Certificate for Provider-Performed Microscopy Procedures, effective November 19, 2025, expires November 18, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- November 19, 2025
- Certificate expiration
- November 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 18, 2011
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 05D2024522
- Lab name
- Providence Medical Institute
- Address
- 201 S Buena Vista St Ste 100, Burbank, CA 91505
- Phone
- (310) 792-4086
- Fax
- (310) 792-4093
Annual test volume the lab reported
- Provider-performed microscopy 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 Providence Medical Institute in Burbank?
05D2024522, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Medical Institute hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D2024522 expire?
The CMS file lists November 18, 2027 as the certificate expiration date; the certificate took effect November 19, 2025.