CLIA lab

CLIA 05D2210406: Scpmg Culver City Target

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

CLIA number 05D2210406 belongs to Scpmg Culver City Target in Culver City, CA.

Certificate of Waiver, effective January 21, 2025, expires January 20, 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 of Waiver
Certificate effective
January 21, 2025
Certificate expiration
January 20, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 21, 2021
Facility type
Health maintenance organization
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
3

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D2210406
Lab name
Scpmg Culver City Target
Address
10820 Jefferson Blvd, Culver City, CA 90230
Phone
(310) 558-0811
Fax
(818) 503-6532

Annual test volume the lab reported

Waived tests
1,000

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

Affiliated CLIA numbers

Other labs in Culver City, CA

Related

Questions

What is the CLIA number for Scpmg Culver City Target in Culver City?

05D2210406, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Scpmg Culver City Target hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2210406 expire?

The CMS file lists January 20, 2027 as the certificate expiration date; the certificate took effect January 21, 2025.

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