CLIA lab
CLIA 05D2069169: Admiralty Surgery Center
Marina Del Rey, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2069169 belongs to Admiralty Surgery Center in Marina Del Rey, CA.
Certificate of Waiver, effective November 19, 2025, expires November 18, 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
- November 19, 2025
- Certificate expiration
- November 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 19, 2013
- Facility type
- Ambulatory surgery center
- 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
- 05D2069169
- Lab name
- Admiralty Surgery Center
- Address
- 4640 Admiralty Way 718 B, Marina Del Rey, CA 90292
- Phone
- (310) 823-4444
- Fax
- (310) 363-7085
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Cedars-Sinai Marina HospitalCertificate of Accreditation, Hospital05D0549077
- Cedars-Sinai Marina HospitalCertificate of Accreditation, Hospital05D0914697
- Cedars-Sinai Medical Care FoundationCertificate of Waiver, Physician office05D0549065
- Cedars-Sinai Medical Care FoundationCertificate for Provider-Performed Microscopy Procedures, Physician office05D2125219
- Cedars-Sinai Medical Care FoundationCertificate of Waiver, Physician office05D2316013
- Cedars-Sinai Medical Care FoundationCertificate of Waiver, Physician office05D2334341
- Cedars-Sinai Medical Care FoundationCertificate of Waiver, Physician office05D2340297
Related
Questions
What is the CLIA number for Admiralty Surgery Center in Marina Del Rey?
05D2069169, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Admiralty Surgery Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2069169 expire?
The CMS file lists November 18, 2027 as the certificate expiration date; the certificate took effect November 19, 2025.