CLIA lab

CLIA 05D2224904: Lake Hughes Recovery Op, Inc

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

CLIA number 05D2224904 belongs to Lake Hughes Recovery Op, Inc in Los Angeles, CA.

Certificate of Waiver, effective May 17, 2025, expires May 16, 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
May 17, 2025
Certificate expiration
May 16, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 17, 2021
Facility type
Other
Ownership (control type)
Proprietary
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
05D2224904
Lab name
Lake Hughes Recovery Op, Inc
Additional name
DBA First Responders First Outpatient
Address
124 N Townsend Ave, Los Angeles, CA 90063
Phone
(213) 466-2613
Fax
(661) 481-3392

Annual test volume the lab reported

Waived tests
200

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

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Related

Questions

What is the CLIA number for Lake Hughes Recovery Op, Inc in Los Angeles?

05D2224904, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lake Hughes Recovery Op, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2224904 expire?

The CMS file lists May 16, 2027 as the certificate expiration date; the certificate took effect May 17, 2025.

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