CLIA lab

CLIA 05D2170023: Live-Well Icf/Dd-N

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

CLIA number 05D2170023 belongs to Live-Well Icf/Dd-N in Mission Hills, CA.

Certificate of Waiver, effective October 8, 2026, expires October 7, 2028.

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
October 8, 2026
Certificate expiration
October 7, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 31, 2019
Facility type
Assisted living facility
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
05D2170023
Lab name
Live-Well Icf/Dd-N
Address
11053 Sharp Ave, Mission Hills, CA 91345
Phone
(818) 681-6133
Fax
(818) 286-3910

Annual test volume the lab reported

Waived tests
3,000

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

Other labs in Mission Hills, CA

Related

Questions

What is the CLIA number for Live-Well Icf/Dd-N in Mission Hills?

05D2170023, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Live-Well Icf/Dd-N hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2170023 expire?

The CMS file lists October 7, 2028 as the certificate expiration date; the certificate took effect October 8, 2026.

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