CLIA lab

CLIA 05D2279770: Premise Health of California Medical, P.C.

Long Beach, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2279770 belongs to Premise Health of California Medical, P.C. in Long Beach, CA.

Certificate of Waiver, effective April 6, 2025, expires April 5, 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
April 6, 2025
Certificate expiration
April 5, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 6, 2023
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
5

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D2279770
Lab name
Premise Health of California Medical, P.C.
Additional name
DBA Tabc Ohs
Address
6375 N Paramont Blvd, Long Beach, CA 90805
Phone
(562) 984-3365
Fax
(562) 685-0615

Annual test volume the lab reported

Waived tests
250

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Long Beach, CA

Related

Questions

What is the CLIA number for Premise Health of California Medical, P.C. in Long Beach?

05D2279770, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Premise Health of California Medical, P.C. hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2279770 expire?

The CMS file lists April 5, 2027 as the certificate expiration date; the certificate took effect April 6, 2025.

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