CLIA lab
CLIA 05D2159702: Encino Medical Pharmacy, Inc
Encino, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2159702 belongs to Encino Medical Pharmacy, Inc in Encino, CA.
Certificate of Waiver, effective December 21, 2024, expires December 20, 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 21, 2024
- Certificate expiration
- December 20, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 21, 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
- 05D2159702
- Lab name
- Encino Medical Pharmacy, Inc
- Address
- 17479 Ventura Boulevard, Encino, CA 91316
- Phone
- (818) 514-4020
- Fax
- (818) 514-4025
Annual test volume the lab reported
- Waived tests
- 60
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Art Home Health Care IncCertificate of Waiver, Home health agency05D1077570
Related
Questions
What is the CLIA number for Encino Medical Pharmacy, Inc in Encino?
05D2159702, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Encino Medical Pharmacy, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2159702 expire?
The CMS file lists December 20, 2026 as the certificate expiration date; the certificate took effect December 21, 2024.