CLIA lab
CLIA 05D2258183: Adventist Health White Memorial
Los Angeles, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2258183 belongs to Adventist Health White Memorial in Los Angeles, CA.
Certificate of Waiver, effective April 18, 2026, expires April 17, 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
- April 18, 2026
- Certificate expiration
- April 17, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 18, 2022
- Facility type
- Other
- Ownership (control type)
- Religious affiliation
- 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
- 05D2258183
- Lab name
- Adventist Health White Memorial
- Additional name
- Boyle Heights Clinic
- Address
- 1700 E Cesar Chavez Ave Suite 3300, Los Angeles, CA 90033
- Phone
- (323) 268-5000
- Fax
- (323) 881-8712
Annual test volume the lab reported
- Waived tests
- 2,000
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 Adventist Health White Memorial in Los Angeles?
05D2258183, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Adventist Health White Memorial hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2258183 expire?
The CMS file lists April 17, 2028 as the certificate expiration date; the certificate took effect April 18, 2026.