CLIA lab
CLIA 05D2254908: Occupational Health Clinic
Los Angeles, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2254908 belongs to Occupational Health Clinic in Los Angeles, 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
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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
- 05D2254908
- Lab name
- Occupational Health Clinic
- Additional name
- Powered By Premise Health
- Address
- 4501 Colorado Blvd Ste 100, Los Angeles, CA 90039
- Phone
- (818) 507-8355
- Fax
- (818) 507-8356
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 Occupational Health Clinic in Los Angeles?
05D2254908, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Occupational Health Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2254908 expire?
The CMS file lists March 7, 2028 as the certificate expiration date; the certificate took effect March 8, 2026.