CLIA lab
CLIA 05D2204634: Dignity Health Medical Foundation
Northridge, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2204634 belongs to Dignity Health Medical Foundation in Northridge, CA.
Certificate for Provider-Performed Microscopy Procedures, effective October 22, 2025, expires October 21, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- October 22, 2025
- Certificate expiration
- October 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 9, 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
- 05D2204634
- Lab name
- Dignity Health Medical Foundation
- Address
- 18406 Roscoe Blvd, Ste A, Northridge, CA 91325
- Phone
- (916) 379-2861
- Fax
- (916) 858-3205
Annual test volume the lab reported
- Waived tests
- 1,000
- Provider-performed microscopy tests
- 800
- Total
- 1,800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Amicis Research CenterCertificate of Waiver, Other05D2166775
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Related
Questions
What is the CLIA number for Dignity Health Medical Foundation in Northridge?
05D2204634, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dignity Health Medical Foundation hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D2204634 expire?
The CMS file lists October 21, 2027 as the certificate expiration date; the certificate took effect October 22, 2025.