CLIA lab

CLIA 05D2188514: Goodlife Physical Medicine

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

CLIA number 05D2188514 belongs to Goodlife Physical Medicine in El Segundo, CA.

Certificate of Waiver, effective July 17, 2026, expires July 16, 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
July 17, 2026
Certificate expiration
July 16, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 17, 2020
Facility type
Physician office
Ownership (control type)
Private
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
05D2188514
Lab name
Goodlife Physical Medicine
Address
2218 E Maple Ave, El Segundo, CA 90245
Phone
(310) 543-7779
Fax
(844) 314-9911

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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Questions

What is the CLIA number for Goodlife Physical Medicine in El Segundo?

05D2188514, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Goodlife Physical Medicine hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2188514 expire?

The CMS file lists July 16, 2028 as the certificate expiration date; the certificate took effect July 17, 2026.

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