CLIA lab

CLIA 05D2174369: San Fernando Pediatrics

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

CLIA number 05D2174369 belongs to San Fernando Pediatrics in San Fernando, CA.

Certificate of Waiver, effective October 30, 2025, expires October 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
October 30, 2025
Certificate expiration
October 29, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 30, 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
05D2174369
Lab name
San Fernando Pediatrics
Address
107 North Maclay Avenue, San Fernando, CA 91340
Phone
(818) 697-8585
Fax
(888) 799-8585

Annual test volume the lab reported

Waived tests
900

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

Other labs in San Fernando, CA

Related

Questions

What is the CLIA number for San Fernando Pediatrics in San Fernando?

05D2174369, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does San Fernando Pediatrics hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2174369 expire?

The CMS file lists October 29, 2027 as the certificate expiration date; the certificate took effect October 30, 2025.

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