CLIA lab

CLIA 05D2103599: Scpmg Manhattan Beach Medical Offices

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

CLIA number 05D2103599 belongs to Scpmg Manhattan Beach Medical Offices in Manhattan Beach, CA.

Certificate of Waiver, effective September 18, 2026, expires September 17, 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 of Waiver
Certificate effective
September 18, 2026
Certificate expiration
September 17, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
October 15, 2015
Facility type
Health maintenance organization
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
05D2103599
Lab name
Scpmg Manhattan Beach Medical Offices
Address
400 S Sepulveda Blvd, Manhattan Beach, CA 90266
Phone
(310) 517-2636
Fax
(818) 503-6532

Annual test volume the lab reported

Waived tests
2,600

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

Affiliated CLIA numbers

Other labs in Manhattan Beach, CA

Related

Questions

What is the CLIA number for Scpmg Manhattan Beach Medical Offices in Manhattan Beach?

05D2103599, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Scpmg Manhattan Beach Medical Offices hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2103599 expire?

The CMS file lists September 17, 2028 as the certificate expiration date; the certificate took effect September 18, 2026.

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