CLIA lab
CLIA 05D2066359: Vitacare Medical Associates
Los Angeles, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2066359 belongs to Vitacare Medical Associates in Los Angeles, CA.
Certificate of Waiver, effective September 25, 2025, expires September 24, 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 25, 2025
- Certificate expiration
- September 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 25, 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
- 05D2066359
- Lab name
- Vitacare Medical Associates
- Address
- 966 S Western Ave #201, Los Angeles, CA 90006
- Phone
- (323) 452-0656
- Fax
- (562) 443-3791
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 Vitacare Medical Associates in Los Angeles?
05D2066359, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Vitacare Medical Associates hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2066359 expire?
The CMS file lists September 24, 2027 as the certificate expiration date; the certificate took effect September 25, 2025.