CLIA lab

CLIA 05D2169062: Keith A Marcus MD Inc

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

CLIA number 05D2169062 belongs to Keith A Marcus MD Inc in Redondo Beach, CA.

Certificate of Waiver, effective July 15, 2025, expires July 14, 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 15, 2025
Certificate expiration
July 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 15, 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
05D2169062
Lab name
Keith A Marcus MD Inc
Address
1815 Via El Prado Suite 102, Redondo Beach, CA 90277
Phone
(310) 316-1400
Fax
(310) 316-1455

Annual test volume the lab reported

Waived tests
100

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

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Questions

What is the CLIA number for Keith A Marcus MD Inc in Redondo Beach?

05D2169062, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Keith A Marcus MD Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2169062 expire?

The CMS file lists July 14, 2027 as the certificate expiration date; the certificate took effect July 15, 2025.

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