CLIA lab

CLIA 05D2047630: Adventist Health Physicians Network

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

CLIA number 05D2047630 belongs to Adventist Health Physicians Network in Glendale, CA.

Certificate of Waiver, effective September 28, 2024, expiration date September 27, 2026.

The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.

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
September 28, 2024
Certificate expiration
September 27, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
September 28, 2012
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
05D2047630
Lab name
Adventist Health Physicians Network
Additional name
Family Medicine
Address
1560 E Chevy Chase Dr Suite 245, Glendale, CA 91206
Phone
(818) 246-5900
Fax
(818) 956-7633

Annual test volume the lab reported

Waived tests
250

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

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Questions

What is the CLIA number for Adventist Health Physicians Network in Glendale?

05D2047630, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Adventist Health Physicians Network hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2047630 expire?

The CMS file lists September 27, 2026 as the certificate expiration date; the certificate took effect September 28, 2024.

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