CLIA lab

CLIA 05D2089219: White Oak Congregate Living Facility

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

CLIA number 05D2089219 belongs to White Oak Congregate Living Facility in Northridge, CA.

Certificate of Waiver, effective December 22, 2024, expires December 21, 2026.

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
December 22, 2024
Certificate expiration
December 21, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 22, 2014
Facility type
Other
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
05D2089219
Lab name
White Oak Congregate Living Facility
Address
9301 Whiteoak Ave, Northridge, CA 91325
Phone
(818) 885-1135
Fax
(818) 885-1173

Annual test volume the lab reported

Waived tests
100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Questions

What is the CLIA number for White Oak Congregate Living Facility in Northridge?

05D2089219, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does White Oak Congregate Living Facility hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2089219 expire?

The CMS file lists December 21, 2026 as the certificate expiration date; the certificate took effect December 22, 2024.

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