CLIA lab

CLIA 05D2136740: Prohealth Partners A Medical Group Inc

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

CLIA number 05D2136740 belongs to Prohealth Partners A Medical Group Inc in Los Alamitos, CA.

Certificate of Waiver, effective September 14, 2025, expires September 13, 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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
September 14, 2025
Certificate expiration
September 13, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 14, 2017
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
05D2136740
Lab name
Prohealth Partners A Medical Group Inc
Address
5122 Katella Avenue Ste 308, Los Alamitos, CA 90720
Phone
(562) 594-8555
Fax
(562) 594-8557

Annual test volume the lab reported

Waived tests
750

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Los Alamitos, CA

Related

Questions

What is the CLIA number for Prohealth Partners A Medical Group Inc in Los Alamitos?

05D2136740, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Prohealth Partners A Medical Group Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2136740 expire?

The CMS file lists September 13, 2027 as the certificate expiration date; the certificate took effect September 14, 2025.

Try it on your own data today.

Free to start. Most teams are using it the same day.