CLIA lab

CLIA 05D2098850: Mission City Community Network, Inc

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

CLIA number 05D2098850 belongs to Mission City Community Network, Inc in La Puente, CA.

Certificate of Waiver, effective July 15, 2025, expires July 14, 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
July 15, 2025
Certificate expiration
July 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 15, 2015
Facility type
Community clinic
Ownership (control type)
Other
Lab classification
CLIA laboratory
Directly affiliated labs
4

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

Lab and contact

CLIA number
05D2098850
Lab name
Mission City Community Network, Inc
Additional name
#name?
Address
1025 Willow Ave, La Puente, CA 91746
Phone
(818) 895-3100

Annual test volume the lab reported

Waived tests
2,000

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

Affiliated CLIA numbers

Other labs in La Puente, CA

Related

Questions

What is the CLIA number for Mission City Community Network, Inc in La Puente?

05D2098850, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mission City Community Network, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2098850 expire?

The CMS file lists July 14, 2027 as the certificate expiration date; the certificate took effect July 15, 2025.

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