CLIA lab

CLIA 05D2159612: Advanced Pain Medical Group Inc

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

CLIA number 05D2159612 belongs to Advanced Pain Medical Group Inc in Encino, CA.

Certificate of Waiver, effective December 20, 2024, expires December 19, 2026.

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
December 20, 2024
Certificate expiration
December 19, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 20, 2018
Facility type
Other practitioner
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
05D2159612
Lab name
Advanced Pain Medical Group Inc
Address
16030 Ventura Blvd Suite 100, Encino, CA 91436
Phone
(818) 348-7246
Fax
(818) 348-7248

Annual test volume the lab reported

Waived tests
1,000

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 Advanced Pain Medical Group Inc in Encino?

05D2159612, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Advanced Pain Medical Group Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2159612 expire?

The CMS file lists December 19, 2026 as the certificate expiration date; the certificate took effect December 20, 2024.

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