CLIA lab

CLIA 05D2125283: Addison ASC, LLC

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

CLIA number 05D2125283 belongs to Addison ASC, LLC in Sherman Oaks, CA.

Certificate of Waiver, effective February 3, 2025, expires February 2, 2027.

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
February 3, 2025
Certificate expiration
February 2, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 3, 2017
Facility type
Ambulatory surgery center
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
05D2125283
Lab name
Addison ASC, LLC
Address
4955 Van Nuys Blvd Ste 719, Sherman Oaks, CA 91403
Phone
(808) 325-0400

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 Sherman Oaks, CA

Related

Questions

What is the CLIA number for Addison ASC, LLC in Sherman Oaks?

05D2125283, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Addison ASC, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2125283 expire?

The CMS file lists February 2, 2027 as the certificate expiration date; the certificate took effect February 3, 2025.

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