CLIA lab
CLIA 05D2119262: Kids and Teens Medical Group
La Canada Flintridge, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2119262 belongs to Kids and Teens Medical Group in La Canada Flintridge, CA.
Certificate of Waiver, effective September 22, 2026, expires September 21, 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
- September 22, 2026
- Certificate expiration
- September 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 22, 2016
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 6
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2119262
- Lab name
- Kids and Teens Medical Group
- Additional name
- Janesri De Silva, MD
- Address
- 1021 Foothill Blvd, La Canada Flintridge, CA 91011
- Phone
- (818) 361-5437
- Fax
- (626) 406-1800
Annual test volume the lab reported
- Waived tests
- 450
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in La Canada Flintridge, CA
- Csi Medical GroupCertificate of Compliance, Independent05D2069464
- Frank F Luo MD IncCertificate of Compliance, Independent05D1064505
- Healthcare Partners Affiliates Medical GroupCertificate for Provider-Performed Microscopy Procedures, Physician office05D0865607
- La Canada Medical GroupCertificate of Waiver, Other practitioner05D2328172
Related
Questions
What is the CLIA number for Kids and Teens Medical Group in La Canada Flintridge?
05D2119262, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kids and Teens Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2119262 expire?
The CMS file lists September 21, 2028 as the certificate expiration date; the certificate took effect September 22, 2026.