CLIA lab

CLIA 05D2203047: DR Jamie A Lipeles A Professional Medical Corp

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

CLIA number 05D2203047 belongs to DR Jamie A Lipeles A Professional Medical Corp in Hawthorne, CA.

Certificate of Waiver, effective December 2, 2024, expires December 1, 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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
December 2, 2024
Certificate expiration
December 1, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 2, 2020
Facility type
Physician office
Ownership (control type)
Other
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
05D2203047
Lab name
DR Jamie A Lipeles A Professional Medical Corp
Address
11602 Hawthorne Blvd Ste A, Hawthorne, CA 90250
Phone
(310) 263-1400
Fax
(310) 263-1418

Annual test volume the lab reported

Waived tests
10,000

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

Other labs in Hawthorne, CA

Related

Questions

What is the CLIA number for DR Jamie A Lipeles A Professional Medical Corp in Hawthorne?

05D2203047, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does DR Jamie A Lipeles A Professional Medical Corp hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2203047 expire?

The CMS file lists December 1, 2026 as the certificate expiration date; the certificate took effect December 2, 2024.

Try it on your own data today.

Free to start. Most teams are using it the same day.