CLIA lab
CLIA 05D2276195: Pacific Medical Pharmacy #3
Tujunga, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2276195 belongs to Pacific Medical Pharmacy #3 in Tujunga, CA.
Certificate of Waiver, effective February 3, 2025, expires February 2, 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
- February 3, 2025
- Certificate expiration
- February 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 3, 2023
- Facility type
- Pharmacy
- 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
- 05D2276195
- Lab name
- Pacific Medical Pharmacy #3
- Address
- 6624 Foothill Blvd, Tujunga, CA 91042
- Phone
- (818) 875-4053
- Fax
- (818) 875-4063
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Tujunga, CA
- Americano Home Health Care, IncCertificate of Waiver, Home health agency05D2164643
- Angelic Home Health Care IncCertificate of Waiver, Home health agency05D2343271
- Dan T La MD IncCertificate of Waiver, Physician office05D1061268
- Face 2 Face Home Health, Inc.Certificate of Waiver, Home health agency05D2306837
- First Aid Urgent CareCertificate of Waiver, Other05D2103238
- General Medical Home HealthCertificate of Waiver, Home health agency05D2227990
- Good Life Home Health Group IncCertificate of Waiver, Home health agency05D2290294
- La Guardian Health Care IncCertificate of Waiver, Home health agency05D2065010
- Lifeline Clinical Laboratory IncCertificate of Registration, Independent05D2303208
- Lilit Baltaian, MD IncCertificate of Waiver, Physician office05D2015968
Related
Questions
What is the CLIA number for Pacific Medical Pharmacy #3 in Tujunga?
05D2276195, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pacific Medical Pharmacy #3 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2276195 expire?
The CMS file lists February 2, 2027 as the certificate expiration date; the certificate took effect February 3, 2025.