CLIA lab
CLIA 05D2262839: Vip Pedaitrics
Pasadena, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2262839 belongs to Vip Pedaitrics in Pasadena, CA.
Certificate of Waiver, effective June 20, 2026, expires June 19, 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
- June 20, 2026
- Certificate expiration
- June 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 20, 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
- 05D2262839
- Lab name
- Vip Pedaitrics
- Address
- 370 Mercedes Ave, Pasadena, CA 91107
- Phone
- (703) 963-2548
- Fax
- (310) 254-9905
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.
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Related
Questions
What is the CLIA number for Vip Pedaitrics in Pasadena?
05D2262839, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Vip Pedaitrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2262839 expire?
The CMS file lists June 19, 2028 as the certificate expiration date; the certificate took effect June 20, 2026.