CLIA lab
CLIA 05D2165514: Scpmg Porter Ranch Medical Office
Porter Ranch, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2165514 belongs to Scpmg Porter Ranch Medical Office in Porter Ranch, CA.
Certificate of Waiver, effective April 30, 2025, expires April 29, 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
- April 30, 2025
- Certificate expiration
- April 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 30, 2019
- Facility type
- Health maintenance organization
- 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
- 05D2165514
- Lab name
- Scpmg Porter Ranch Medical Office
- Address
- 2000 Rinaldi Street, Porter Ranch, CA 91326
- Phone
- (747) 444-7352
- Fax
- (818) 503-6532
Annual test volume the lab reported
- Waived tests
- 1,858
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Porter Ranch, CA
- Federal Home Health Agency IncCertificate of Waiver, Home health agency05D2335905
- Providence Facey Medical FoundationCertificate for Provider-Performed Microscopy Procedures, Physician office05D0960450
- ST John Helathcare ServicesCertificate of Waiver, Home health agency05D2290773
- Trinity Health Partners LLCCertificate of Waiver, Other05D2325909
- UCLA Health Porter Ranch PediatricsCertificate of Waiver, Other05D2324323
- UCLA Hematology/Oncology Porter RanchCertificate of Accreditation, Other05D2060853
- UCLA Porter Ranch Primary Care and SpecialtiesCertificate of Waiver, Other05D2066970
- Walmart Pharmacy #10-2526Certificate of Waiver, Pharmacy05D2341404
Related
Questions
What is the CLIA number for Scpmg Porter Ranch Medical Office in Porter Ranch?
05D2165514, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Scpmg Porter Ranch Medical Office hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2165514 expire?
The CMS file lists April 29, 2027 as the certificate expiration date; the certificate took effect April 30, 2025.