CLIA lab
CLIA 05D2276395: Valley Star MLK BHC Crisis Residential Treatment
Los Angeles, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2276395 belongs to Valley Star MLK BHC Crisis Residential Treatment in Los Angeles, CA.
Certificate of Waiver, effective February 8, 2025, expires February 7, 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 8, 2025
- Certificate expiration
- February 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 8, 2023
- Facility type
- Other
- 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
- 05D2276395
- Lab name
- Valley Star MLK BHC Crisis Residential Treatment
- Address
- 12021 Wilmington Ave., Los Angeles, CA 90059
- Phone
- (213) 222-1681
- Fax
- (213) 652-1886
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.
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Related
Questions
What is the CLIA number for Valley Star MLK BHC Crisis Residential Treatment in Los Angeles?
05D2276395, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Valley Star MLK BHC Crisis Residential Treatment hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2276395 expire?
The CMS file lists February 7, 2027 as the certificate expiration date; the certificate took effect February 8, 2025.