CLIA lab

CLIA 05D2281167: Premise Health of California Medical, P.C.

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

CLIA number 05D2281167 belongs to Premise Health of California Medical, P.C. in Burbank, CA.

Certificate of Waiver, effective May 2, 2025, expires May 1, 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
May 2, 2025
Certificate expiration
May 1, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 2, 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
05D2281167
Lab name
Premise Health of California Medical, P.C.
Additional name
Warner Bros Dis Hlth & Wellness CTR Second Century
Address
200 S California St, Burbank, CA 91505
Phone
(310) 382-3019
Fax
(213) 293-4566

Annual test volume the lab reported

Waived tests
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 Premise Health of California Medical, P.C. in Burbank?

05D2281167, 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 05D2281167 expire?

The CMS file lists May 1, 2027 as the certificate expiration date; the certificate took effect May 2, 2025.

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