CLIA lab
CLIA 05D2128583: Men's Treatment Program
Santa Monica, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2128583 belongs to Men's Treatment Program in Santa Monica, CA.
Certificate of Waiver, effective April 3, 2025, expires April 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
- April 3, 2025
- Certificate expiration
- April 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 3, 2017
- Facility type
- Other
- Ownership (control type)
- Other
- 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
- 05D2128583
- Lab name
- Men's Treatment Program
- Address
- 907 Pico Blvd, Santa Monica, CA 90405
- Phone
- (310) 314-6200
- Fax
- (310) 396-6974
Annual test volume the lab reported
- Waived tests
- 1,010
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 Men's Treatment Program in Santa Monica?
05D2128583, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Men's Treatment Program hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2128583 expire?
The CMS file lists April 2, 2027 as the certificate expiration date; the certificate took effect April 3, 2025.