CLIA lab
CLIA 05D2079712: Wellness Center at Jefferson High School
Los Angeles, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2079712 belongs to Wellness Center at Jefferson High School in Los Angeles, CA.
Certificate for Provider-Performed Microscopy Procedures, effective June 23, 2026, expires June 22, 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
- June 23, 2026
- Certificate expiration
- June 22, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 23, 2014
- Facility type
- Federally qualified health center
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2079712
- Lab name
- Wellness Center at Jefferson High School
- Address
- 3410 S Hooper Ave, Los Angeles, CA 90011
- Phone
- (323) 908-4200
- Fax
- (323) 908-4256
Annual test volume the lab reported
- Waived tests
- 1,000
- Provider-performed microscopy tests
- 60
- Total
- 1,060
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Los Angeles, CA
- 1 Method CenterCertificate of Waiver, Other05D2122141
- 1 Method CenterCertificate of Waiver, Ancillary test site05D2222235
- 1 Method CorpCertificate of Waiver, Other05D2227773
- 1 Method CorpCertificate of Waiver, Other05D2295974
- 10X Health Ventures, LLCCertificate of Waiver, Other05D2314925
- 1741 Hauser Blvd Detox LLCCertificate of Waiver, Other05D2292193
- 2080 Century Park LaboratoryCertificate of Compliance, Independent05D0669071
- 2nd Century Adult Day Hlth Care IncCertificate of Waiver, Other05D0984182
- 2nd Home Adult Health Care IncCertificate of Waiver, Other05D2344147
- 300 S Robertson Dialysis, LLCCertificate of Waiver, End stage renal disease dialysis facility05D0962071
Related
Questions
What is the CLIA number for Wellness Center at Jefferson High School in Los Angeles?
05D2079712, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wellness Center at Jefferson High School hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D2079712 expire?
The CMS file lists June 22, 2028 as the certificate expiration date; the certificate took effect June 23, 2026.