CLIA lab

CLIA 05D2057512: Medicina Familiar Medical Group

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

CLIA number 05D2057512 belongs to Medicina Familiar Medical Group in Pacoima, CA.

Certificate of Waiver, effective February 21, 2025, expires February 20, 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
February 21, 2025
Certificate expiration
February 20, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 17, 2013
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
05D2057512
Lab name
Medicina Familiar Medical Group
Address
13500 Van Nuys Blvd, Pacoima, CA 91331
Phone
(818) 896-2999

Annual test volume the lab reported

Waived tests
900

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 Medicina Familiar Medical Group in Pacoima?

05D2057512, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Medicina Familiar Medical Group hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2057512 expire?

The CMS file lists February 20, 2027 as the certificate expiration date; the certificate took effect February 21, 2025.

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