CLIA lab
CLIA 05D2108598: San Fernando Internal Medicine, Inc
Mission Hills, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2108598 belongs to San Fernando Internal Medicine, Inc in Mission Hills, CA.
Certificate of Waiver, effective February 8, 2026, expires February 7, 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
- February 8, 2026
- Certificate expiration
- February 7, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 8, 2016
- Facility type
- Physician office
- 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
- 05D2108598
- Lab name
- San Fernando Internal Medicine, Inc
- Address
- 11550 Indian Hills Road, #240, Mission Hills, CA 91345
- Phone
- (818) 488-5188
- Fax
- (818) 356-4220
Annual test volume the lab reported
- Waived tests
- 150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Blue Sky Home Health, IncCertificate of Waiver, Home health agency05D1090944
- Easi Home Health Care, Inc.Certificate of Waiver, Home health agency05D2288367
- Family Planning Associates MedicalCertificate of Compliance, Physician office05D0668296
- Frank R Lusher MD IncCertificate of Compliance, Physician office05D0864512
Related
Questions
What is the CLIA number for San Fernando Internal Medicine, Inc in Mission Hills?
05D2108598, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does San Fernando Internal Medicine, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2108598 expire?
The CMS file lists February 7, 2028 as the certificate expiration date; the certificate took effect February 8, 2026.