CLIA lab

CLIA 05D2113203: Socal Outpatient Surgery Center

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

CLIA number 05D2113203 belongs to Socal Outpatient Surgery Center in Glendale, CA.

Certificate of Waiver, effective May 17, 2026, expires May 16, 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
May 17, 2026
Certificate expiration
May 16, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 17, 2016
Facility type
Ambulatory surgery center
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
05D2113203
Lab name
Socal Outpatient Surgery Center
Address
1141 N Brand Blvd Ste 200, Glendale, CA 91202
Phone
(818) 945-9845
Fax
(818) 945-0892

Annual test volume the lab reported

Waived tests
200

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

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Related

Questions

What is the CLIA number for Socal Outpatient Surgery Center in Glendale?

05D2113203, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Socal Outpatient Surgery Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2113203 expire?

The CMS file lists May 16, 2028 as the certificate expiration date; the certificate took effect May 17, 2026.

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