CLIA lab
CLIA 05D2279187: Pacifica Foundation, LLC
Los Angeles, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2279187 belongs to Pacifica Foundation, LLC in Los Angeles, CA.
Certificate of Waiver, effective March 30, 2025, expires March 29, 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
- March 30, 2025
- Certificate expiration
- March 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 30, 2023
- 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
- 05D2279187
- Lab name
- Pacifica Foundation, LLC
- Address
- 1300 N Vermont Ave, #407, Los Angeles, CA 90027
- Phone
- (323) 913-4200
- Fax
- (510) 281-0766
Annual test volume the lab reported
- Waived tests
- 1,500
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 Pacifica Foundation, LLC in Los Angeles?
05D2279187, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pacifica Foundation, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2279187 expire?
The CMS file lists March 29, 2027 as the certificate expiration date; the certificate took effect March 30, 2025.