CLIA lab

CLIA 05D2092203: Southern California Pulmonary &

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

CLIA number 05D2092203 belongs to Southern California Pulmonary & in Glendale, CA.

Certificate of Waiver, effective February 19, 2025, expires February 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
February 19, 2025
Certificate expiration
February 18, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 27, 2015
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D2092203
Lab name
Southern California Pulmonary &
Additional name
Critical Care Associates, Inc
Address
1511 W Glenoaks Blvd, Glendale, CA 91201
Phone
(818) 637-2200
Fax
(818) 637-2250

Annual test volume the lab reported

Waived tests
500

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

Other labs in Glendale, CA

Related

Questions

What is the CLIA number for Southern California Pulmonary & in Glendale?

05D2092203, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Southern California Pulmonary & hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2092203 expire?

The CMS file lists February 18, 2027 as the certificate expiration date; the certificate took effect February 19, 2025.

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