CLIA lab

CLIA 05D2076103: Facey Medical Foundation-Tarzana

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

CLIA number 05D2076103 belongs to Facey Medical Foundation-Tarzana in Tarzana, CA.

Certificate for Provider-Performed Microscopy Procedures, effective April 11, 2026, expires April 10, 2028.

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 for Provider-Performed Microscopy Procedures
Certificate effective
April 11, 2026
Certificate expiration
April 10, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 11, 2014
Facility type
Other
Ownership (control type)
Private
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
05D2076103
Lab name
Facey Medical Foundation-Tarzana
Address
18133 Ventura Blvd Suite 2014, Tarzana, CA 91356
Phone
(877) 503-0518
Fax
(818) 869-7219

Annual test volume the lab reported

Waived tests
218
Provider-performed microscopy tests
12
Total
230

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 Facey Medical Foundation-Tarzana in Tarzana?

05D2076103, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Facey Medical Foundation-Tarzana hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 05D2076103 expire?

The CMS file lists April 10, 2028 as the certificate expiration date; the certificate took effect April 11, 2026.

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