CLIA lab

CLIA 05D2121497: Elements Pharmacy

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

CLIA number 05D2121497 belongs to Elements Pharmacy in Studio City, CA.

Certificate of Waiver, effective November 7, 2024, expires November 6, 2026.

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
November 7, 2024
Certificate expiration
November 6, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 7, 2016
Facility type
Pharmacy
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
05D2121497
Lab name
Elements Pharmacy
Address
12602 Ventura Blvd, Studio City, CA 91604
Phone
(818) 762-2055
Fax
(818) 330-4550

Annual test volume the lab reported

Waived tests
50

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 Elements Pharmacy in Studio City?

05D2121497, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Elements Pharmacy hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2121497 expire?

The CMS file lists November 6, 2026 as the certificate expiration date; the certificate took effect November 7, 2024.

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