CLIA lab
CLIA 05D2151759: Pacific Medical Pharmacy
Glendale, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2151759 belongs to Pacific Medical Pharmacy in Glendale, CA.
Certificate of Waiver, effective July 26, 2026, expires July 25, 2028.
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
- July 26, 2026
- Certificate expiration
- July 25, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 26, 2018
- Facility type
- Pharmacy
- 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
- 05D2151759
- Lab name
- Pacific Medical Pharmacy
- Address
- 1101 N Pacific Ave Ste 101, Glendale, CA 91202
- Phone
- (818) 548-1330
- Fax
- (818) 548-3590
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Aaa Hospice Care & Nursing IncCertificate of Waiver, Hospice05D2313109
- Above Care Home HealthCertificate of Waiver, Independent05D2168402
- Advance Care Home Health Agency IncCertificate of Waiver, Home health agency05D2220052
- Advanced Global Healthcare IncCertificate of Waiver, Hospice05D2240620
- Adventist Health Glendale LaboratoryCertificate of Accreditation, Hospital05D0059868
- Adventist Health Glendale LaboratoryCertificate of Waiver, Hospital05D0874231
Related
Questions
What is the CLIA number for Pacific Medical Pharmacy in Glendale?
05D2151759, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pacific Medical Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2151759 expire?
The CMS file lists July 25, 2028 as the certificate expiration date; the certificate took effect July 26, 2026.