CLIA lab

CLIA 05D2041169: San Pedro Eye Medical Group

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

CLIA number 05D2041169 belongs to San Pedro Eye Medical Group in San Pedro, CA.

Certificate of Waiver, effective May 17, 2026, expires May 16, 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
May 17, 2026
Certificate expiration
May 16, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 17, 2012
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
05D2041169
Lab name
San Pedro Eye Medical Group
Address
571 West 7th St, San Pedro, CA 90731
Phone
(310) 833-1327
Fax
(310) 833-0698

Annual test volume the lab reported

Waived tests
100

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

Other labs in San Pedro, CA

Related

Questions

What is the CLIA number for San Pedro Eye Medical Group in San Pedro?

05D2041169, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does San Pedro Eye Medical Group hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2041169 expire?

The CMS file lists May 16, 2028 as the certificate expiration date; the certificate took effect May 17, 2026.

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