CLIA lab
CLIA 05D2201797: Men's Community Reintegration Program
Los Angeles, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2201797 belongs to Men's Community Reintegration Program in Los Angeles, CA.
Certificate of Waiver, effective November 23, 2024, expires November 22, 2026.
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
- November 23, 2024
- Certificate expiration
- November 22, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 23, 2020
- Facility type
- Community clinic
- Ownership (control type)
- Government, county
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2201797
- Lab name
- Men's Community Reintegration Program
- Address
- 631A Maple Avenue, Los Angeles, CA 90014
- Phone
- (213) 738-4725
- Fax
- (213) 402-2889
Annual test volume the lab reported
- Waived tests
- 4,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Los Angeles, CA
- 1 Method CenterCertificate of Waiver, Other05D2122141
- 1 Method CenterCertificate of Waiver, Ancillary test site05D2222235
- 1 Method CorpCertificate of Waiver, Other05D2227773
- 1 Method CorpCertificate of Waiver, Other05D2295974
- 10X Health Ventures, LLCCertificate of Waiver, Other05D2314925
- 1741 Hauser Blvd Detox LLCCertificate of Waiver, Other05D2292193
- 2080 Century Park LaboratoryCertificate of Compliance, Independent05D0669071
- 2nd Century Adult Day Hlth Care IncCertificate of Waiver, Other05D0984182
- 2nd Home Adult Health Care IncCertificate of Waiver, Other05D2344147
- 300 S Robertson Dialysis, LLCCertificate of Waiver, End stage renal disease dialysis facility05D0962071
Related
Questions
What is the CLIA number for Men's Community Reintegration Program in Los Angeles?
05D2201797, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Men's Community Reintegration Program hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2201797 expire?
The CMS file lists November 22, 2026 as the certificate expiration date; the certificate took effect November 23, 2024.