CLIA lab

CLIA 05D2160117: John Ag Villanueva MD

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

CLIA number 05D2160117 belongs to John Ag Villanueva MD in Burbank, CA.

Certificate of Waiver, effective January 4, 2025, expires January 3, 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
January 4, 2025
Certificate expiration
January 3, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 4, 2019
Facility type
Physician office
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
05D2160117
Lab name
John Ag Villanueva MD
Additional name
Pain and Spine
Address
2121 Magnolia Blvd Suite B, Burbank, CA 91506
Phone
(818) 669-8895
Fax
(818) 626-3058

Annual test volume the lab reported

Waived tests
500

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 John Ag Villanueva MD in Burbank?

05D2160117, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does John Ag Villanueva MD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2160117 expire?

The CMS file lists January 3, 2027 as the certificate expiration date; the certificate took effect January 4, 2025.

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