CLIA lab
CLIA 05D2065163: Mitchell C. Latter MD Inc
South Pasadena, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2065163 belongs to Mitchell C. Latter MD Inc in South Pasadena, CA.
Certificate of Waiver, effective September 4, 2025, expires September 3, 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
- September 4, 2025
- Certificate expiration
- September 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 4, 2013
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2065163
- Lab name
- Mitchell C. Latter MD Inc
- Address
- 1499 Huntington Dr Ste 508, South Pasadena, CA 91030
- Phone
- (626) 799-9588
- Fax
- (626) 799-9339
Annual test volume the lab reported
- Waived tests
- 2,000
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 Mitchell C. Latter MD Inc in South Pasadena?
05D2065163, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mitchell C. Latter MD Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2065163 expire?
The CMS file lists September 3, 2027 as the certificate expiration date; the certificate took effect September 4, 2025.