CLIA lab
CLIA 05D2228243: Serra Community Medical Clinic, Inc Pacoima Office
Pacoima, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2228243 belongs to Serra Community Medical Clinic, Inc Pacoima Office in Pacoima, CA.
Certificate of Waiver, effective June 23, 2025, expires June 22, 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
- June 23, 2025
- Certificate expiration
- June 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 23, 2021
- Facility type
- Physician office
- 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
- 05D2228243
- Lab name
- Serra Community Medical Clinic, Inc Pacoima Office
- Address
- 10641 San Fernando Road, Pacoima, CA 91331
- Phone
- (818) 485-5775
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Clinica Medica PacoimaCertificate of Waiver, Physician office05D2315876
- Dorado PharmacyCertificate of Waiver, Pharmacy05D2275957
- Edgemont Medical ClinicCertificate of Waiver, Physician office05D2318937
- Hansen Community CareCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D2289392
- Home of Compassion IncCertificate of Waiver, Other05D2077544
- J & M Laurel Medical CenterCertificate of Waiver, Physician office05D0911914
- Medicina Familiar Medical GroupCertificate of Waiver, Physician office05D2057512
- Nevhc-Maclay Wellness CenterCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D2189010
- Norma C Salceda MDCertificate of Waiver, Physician office05D0971061
Related
Questions
What is the CLIA number for Serra Community Medical Clinic, Inc Pacoima Office in Pacoima?
05D2228243, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Serra Community Medical Clinic, Inc Pacoima Office hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2228243 expire?
The CMS file lists June 22, 2027 as the certificate expiration date; the certificate took effect June 23, 2025.