CLIA lab

CLIA 05D2168597: West Hollywood Atc LLC

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

CLIA number 05D2168597 belongs to West Hollywood Atc LLC in West Hollywood, CA.

Certificate of Waiver, effective July 3, 2025, expires July 2, 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
July 3, 2025
Certificate expiration
July 2, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 3, 2019
Facility type
Ancillary test site
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
05D2168597
Lab name
West Hollywood Atc LLC
Address
9024 Harrat Street, West Hollywood, CA 90069
Phone
(424) 204-9064
Fax
(424) 204-9020

Annual test volume the lab reported

Waived tests
2,100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in West Hollywood, CA

Related

Questions

What is the CLIA number for West Hollywood Atc LLC in West Hollywood?

05D2168597, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does West Hollywood Atc LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2168597 expire?

The CMS file lists July 2, 2027 as the certificate expiration date; the certificate took effect July 3, 2025.

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