CLIA lab

CLIA 05D2035987: Pacific Interventional Vascular Access Center

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

CLIA number 05D2035987 belongs to Pacific Interventional Vascular Access Center in Culver City, CA.

Certificate of Waiver, effective January 30, 2026, expires January 29, 2028.

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 30, 2026
Certificate expiration
January 29, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 30, 2012
Facility type
Ambulatory surgery center
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
05D2035987
Lab name
Pacific Interventional Vascular Access Center
Address
6076 Bristol Parkway #108, Culver City, CA 90230
Phone
(310) 775-2011
Fax
(310) 775-2015

Annual test volume the lab reported

Waived tests
10

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 Pacific Interventional Vascular Access Center in Culver City?

05D2035987, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pacific Interventional Vascular Access Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2035987 expire?

The CMS file lists January 29, 2028 as the certificate expiration date; the certificate took effect January 30, 2026.

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