CLIA lab

CLIA 05D2090419: DR. Jamie A. Lipeles

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

CLIA number 05D2090419 belongs to DR. Jamie A. Lipeles in Marina Del Rey, CA.

Certificate for Provider-Performed Microscopy Procedures, effective July 7, 2026, expires July 6, 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
July 7, 2026
Certificate expiration
July 6, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 22, 2015
Facility type
Physician office
Ownership (control type)
Other
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
05D2090419
Lab name
DR. Jamie A. Lipeles
Additional name
A Professional Medical Corporation
Address
4560 Admiralty Way Ste 105, Marina Del Rey, CA 90292
Phone
(310) 694-5255
Fax
(310) 263-1418

Annual test volume the lab reported

Waived tests
1
Provider-performed microscopy tests
9,200
Total
9,201

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 DR. Jamie A. Lipeles in Marina Del Rey?

05D2090419, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does DR. Jamie A. Lipeles hold?

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

When does CLIA 05D2090419 expire?

The CMS file lists July 6, 2028 as the certificate expiration date; the certificate took effect July 7, 2026.

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