CLIA lab
CLIA 05D2279189: Out PT Lab, LLC
Glendale, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2279189 belongs to Out PT Lab, LLC in Glendale, CA.
Certificate of Compliance, effective May 7, 2026, expires May 6, 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 Compliance
- Certificate effective
- May 7, 2026
- Certificate expiration
- May 6, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 30, 2023
- Facility type
- Independent
- 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
- 05D2279189
- Lab name
- Out PT Lab, LLC
- Address
- 600 W Broadway Ste 100, Glendale, CA 91204
- Phone
- (626) 241-2749
- Fax
- (818) 232-7019
Annual test volume the lab reported
- Other nonwaived tests
- 1,305
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Aaa Hospice Care & Nursing IncCertificate of Waiver, Hospice05D2313109
- Above Care Home HealthCertificate of Waiver, Independent05D2168402
- Advance Care Home Health Agency IncCertificate of Waiver, Home health agency05D2220052
- Advanced Global Healthcare IncCertificate of Waiver, Hospice05D2240620
- Adventist Health Glendale LaboratoryCertificate of Accreditation, Hospital05D0059868
- Adventist Health Glendale LaboratoryCertificate of Waiver, Hospital05D0874231
Related
Questions
What is the CLIA number for Out PT Lab, LLC in Glendale?
05D2279189, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Out PT Lab, LLC hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D2279189 expire?
The CMS file lists May 6, 2028 as the certificate expiration date; the certificate took effect May 7, 2026.