CLIA lab

CLIA 05D2254906: Health Center at Ivy Station

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

CLIA number 05D2254906 belongs to Health Center at Ivy Station in Culver City, CA.

Certificate of Waiver, effective March 8, 2026, expires March 7, 2028.

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
March 8, 2026
Certificate expiration
March 7, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 8, 2022
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
05D2254906
Lab name
Health Center at Ivy Station
Address
8900 Venice Blvd Suite 2E123, Culver City, CA 90232
Phone
(310) 382-3019
Fax
(213) 293-4566

Annual test volume the lab reported

Waived tests
100

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

Other labs in Culver City, CA

Related

Questions

What is the CLIA number for Health Center at Ivy Station in Culver City?

05D2254906, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Health Center at Ivy Station hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2254906 expire?

The CMS file lists March 7, 2028 as the certificate expiration date; the certificate took effect March 8, 2026.

Try it on your own data today.

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