CLIA lab
CLIA 05D2099583: Lucky Palliative Services Incorporated
Canoga Park, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2099583 belongs to Lucky Palliative Services Incorporated in Canoga Park, CA.
Certificate of Waiver, effective July 29, 2025, expires July 28, 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 29, 2025
- Certificate expiration
- July 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 29, 2015
- Facility type
- Hospice
- 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
- 05D2099583
- Lab name
- Lucky Palliative Services Incorporated
- Address
- 20944 Sherman Way Ste 204, Canoga Park, CA 91303
- Phone
- (818) 912-6520
- Fax
- (844) 230-9625
Annual test volume the lab reported
- Waived tests
- 1
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Lucky Palliative Services IncorporatedCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Lucky Palliative Services Incorporated in Canoga Park?
05D2099583, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lucky Palliative Services Incorporated hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2099583 expire?
The CMS file lists July 28, 2027 as the certificate expiration date; the certificate took effect July 29, 2025.