CLIA lab

CLIA 05D2114311: Prohealth Partners A Medical Group Inc

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

CLIA number 05D2114311 belongs to Prohealth Partners A Medical Group Inc in Cudahy, CA.

Certificate of Waiver, effective June 10, 2026, expires June 9, 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
June 10, 2026
Certificate expiration
June 9, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 10, 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
05D2114311
Lab name
Prohealth Partners A Medical Group Inc
Address
7643 S Atlantic Ave, Cudahy, CA 90201
Phone
(323) 771-1713
Fax
(323) 562-1302

Annual test volume the lab reported

Waived tests
300

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

Other labs in Cudahy, CA

Related

Questions

What is the CLIA number for Prohealth Partners A Medical Group Inc in Cudahy?

05D2114311, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Prohealth Partners A Medical Group Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2114311 expire?

The CMS file lists June 9, 2028 as the certificate expiration date; the certificate took effect June 10, 2026.

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