CLIA lab
CLIA 05D2123115: La Libertad Medical Clinic Inc
Walnut Park, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2123115 belongs to La Libertad Medical Clinic Inc in Walnut Park, CA.
Certificate of Waiver, effective December 13, 2024, expires December 12, 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
- December 13, 2024
- Certificate expiration
- December 12, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 13, 2016
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2123115
- Lab name
- La Libertad Medical Clinic Inc
- Address
- 7900 Pacific Blvd Ste C, Walnut Park, CA 90255
- Phone
- (323) 277-9455
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Related
Questions
What is the CLIA number for La Libertad Medical Clinic Inc in Walnut Park?
05D2123115, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does La Libertad Medical Clinic Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2123115 expire?
The CMS file lists December 12, 2026 as the certificate expiration date; the certificate took effect December 13, 2024.