CLIA lab
CLIA 05D2172246: Scpmg Westlake Village Target
Westlake Village, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2172246 belongs to Scpmg Westlake Village Target in Westlake Village, CA.
Certificate of Waiver, effective September 18, 2025, expires September 17, 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
- September 18, 2025
- Certificate expiration
- September 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 18, 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
- 05D2172246
- Lab name
- Scpmg Westlake Village Target
- Address
- 30740 Russell Ranch Road, Westlake Village, CA 91362
- Phone
- (818) 719-2625
- Fax
- (818) 503-6532
Annual test volume the lab reported
- Waived tests
- 583
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Westlake Village, CA
- 24-7 Quality Hospice Care, IncCertificate of Waiver, Hospice05D2031400
- 24-7 Quality Infusion & Home Health IncCertificate of Waiver, Home health agency05D1092432
- Agoura Family PracticeCertificate of Waiver, Physician office05D0557238
- Apex DermatologyCertificate of Compliance, Physician office05D2082077
- Asi Westlake VillageCertificate of Compliance, Physician office05D0723664
- Caris Mpi IncCertificate of Registration, Independent05D2293677
- Conejo HealthCertificate of Waiver, Pharmacy05D2316823
- Conejo Medical and Breast Care Center, A Med CorpCertificate of Waiver, Physician office05D0559475
- Daphne Panagotacos MDCertificate of Compliance, Physician office05D0985281
- Dermatology Associates of WestlakeCertificate of Compliance, Physician office05D0690800
Related
Questions
What is the CLIA number for Scpmg Westlake Village Target in Westlake Village?
05D2172246, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Scpmg Westlake Village Target hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2172246 expire?
The CMS file lists September 17, 2027 as the certificate expiration date; the certificate took effect September 18, 2025.