CLIA lab
CLIA 05D2177314: So Cal Behavioral Medicine
Redondo Beach, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2177314 belongs to So Cal Behavioral Medicine in Redondo Beach, CA.
Certificate of Waiver, effective January 8, 2026, expires January 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
- January 8, 2026
- Certificate expiration
- January 7, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 8, 2020
- 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
- 05D2177314
- Lab name
- So Cal Behavioral Medicine
- Address
- 1611 S Pacific Coast Hwy Ste 200D, Redondo Beach, CA 90277
- Phone
- (310) 698-5252
- Fax
- (310) 698-5777
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Clear Recovery CenterCertificate of Waiver, Other05D2110005
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- Cor Redondo BeachCertificate of Waiver, Ancillary test site05D2050337
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Related
Questions
What is the CLIA number for So Cal Behavioral Medicine in Redondo Beach?
05D2177314, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does So Cal Behavioral Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2177314 expire?
The CMS file lists January 7, 2028 as the certificate expiration date; the certificate took effect January 8, 2026.