CLIA lab

CLIA 05D2111094: Scpmg Coastline Medical Offices

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

CLIA number 05D2111094 belongs to Scpmg Coastline Medical Offices in Harbor City, CA.

Certificate for Provider-Performed Microscopy Procedures, effective March 30, 2026, expires March 29, 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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate for Provider-Performed Microscopy Procedures
Certificate effective
March 30, 2026
Certificate expiration
March 29, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 30, 2016
Facility type
Health maintenance organization
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
05D2111094
Lab name
Scpmg Coastline Medical Offices
Address
25821 S Vermont Ave, Harbor City, CA 90710
Phone
(310) 257-6334
Fax
(310) 517-2758

Annual test volume the lab reported

Waived tests
1,000
Provider-performed microscopy tests
100
Total
1,100

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

Other labs in Harbor City, CA

Related

Questions

What is the CLIA number for Scpmg Coastline Medical Offices in Harbor City?

05D2111094, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Scpmg Coastline Medical Offices hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 05D2111094 expire?

The CMS file lists March 29, 2028 as the certificate expiration date; the certificate took effect March 30, 2026.

Try it on your own data today.

Free to start. Most teams are using it the same day.