CLIA lab

CLIA 05D2123385: Premium Care Services, Inc

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

CLIA number 05D2123385 belongs to Premium Care Services, Inc in Valley Village, CA.

Certificate of Waiver, effective December 20, 2024, expires December 19, 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 20, 2024
Certificate expiration
December 19, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 20, 2016
Facility type
Home health agency
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
05D2123385
Lab name
Premium Care Services, Inc
Address
5301 Laurel Canyon Blvd Ste 201, Valley Village, CA 91607
Phone
(818) 358-4334

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.

Other labs in Valley Village, CA

Related

Questions

What is the CLIA number for Premium Care Services, Inc in Valley Village?

05D2123385, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Premium Care Services, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2123385 expire?

The CMS file lists December 19, 2026 as the certificate expiration date; the certificate took effect December 20, 2024.

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