CLIA lab

CLIA 05D2107123: Modmd, A Professional Corporation

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

CLIA number 05D2107123 belongs to Modmd, A Professional Corporation in Venice, CA.

Certificate of Accreditation, effective June 2, 2025, expires June 1, 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 Accreditation
Certificate effective
June 2, 2025
Certificate expiration
June 1, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 6, 2016
Facility type
Independent
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Accrediting organizations
COLA
Directly affiliated labs
2

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

Lab and contact

CLIA number
05D2107123
Lab name
Modmd, A Professional Corporation
Address
208 Lincoln Blvd, Venice, CA 90291
Phone
(213) 537-7143
Fax
(424) 325-0808

Annual test volume the lab reported

Waived tests
100
Tests under accreditation
10,200
Total
10,300

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

Affiliated CLIA numbers

Other labs in Venice, CA

Related

Questions

What is the CLIA number for Modmd, A Professional Corporation in Venice?

05D2107123, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Modmd, A Professional Corporation hold?

A Certificate of Accreditation, according to the CMS file.

When does CLIA 05D2107123 expire?

The CMS file lists June 1, 2027 as the certificate expiration date; the certificate took effect June 2, 2025.

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