CLIA lab
CLIA 05D2137326: Vistamesa Congregate Home, Inc.
N Hollywood, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2137326 belongs to Vistamesa Congregate Home, Inc. in N Hollywood, CA.
Certificate of Waiver, effective September 7, 2025, expires September 6, 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
- September 7, 2025
- Certificate expiration
- September 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 25, 2017
- Facility type
- Other
- Ownership (control type)
- Government, state
- 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
- 05D2137326
- Lab name
- Vistamesa Congregate Home, Inc.
- Address
- 12806 Arminta St, N Hollywood, CA 91605
- Phone
- (310) 489-4476
- Fax
- (310) 496-1830
Annual test volume the lab reported
- Waived tests
- 468
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in N Hollywood, CA
- A&g Home Health Care, IncCertificate of Waiver, Home health agency05D2159839
- Arba Home Healthcare IncCertificate of Waiver, Home health agency05D2191790
- Gods Army Wellness Home IncCertificate of Waiver, Other05D2314805
- Integrative Pediatrics and Medicine Studio CityCertificate of Waiver, Physician office05D2153682
- Lakeside Medical Organization, A Medical GRP, IncCertificate of Waiver, Physician office05D0952072
- Legacy Healing Center California, LLCCertificate of Waiver, Other05D2320430
- Legacy Healing Center California, LLCCertificate of Waiver, Other05D2320465
- Legacy Healing Center California, LLCCertificate of Waiver, Other05D2321520
- Lifeline Medical Laboratory IncCertificate of Compliance, Independent05D1039663
- Sama Hospice, IncCertificate of Waiver, Hospice05D2172673
Related
Questions
What is the CLIA number for Vistamesa Congregate Home, Inc. in N Hollywood?
05D2137326, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Vistamesa Congregate Home, Inc. hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2137326 expire?
The CMS file lists September 6, 2027 as the certificate expiration date; the certificate took effect September 7, 2025.