CLIA lab
CLIA 05D2288422: Scpmg Seal Beach Target
Seal Beach, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2288422 belongs to Scpmg Seal Beach Target in Seal Beach, CA.
Certificate of Waiver, effective August 24, 2025, expires August 23, 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
- August 24, 2025
- Certificate expiration
- August 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 24, 2023
- Facility type
- Health maintenance organization
- 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
- 05D2288422
- Lab name
- Scpmg Seal Beach Target
- Address
- 12300 Seal Beach Blvd, Seal Beach, CA 90740
- Phone
- (562) 430-6232
- Fax
- (818) 503-6532
Annual test volume the lab reported
- Waived tests
- 4,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Ageless Men's HealthCertificate of Waiver, Physician office05D2347544
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- Healthcare Partners Affiliates Medical GroupCertificate of Waiver, Physician office05D0680423
- Healthcare Partners Affiliates Medical GroupCertificate of Waiver, Physician office05D0947323
- Ivy Park at Seal BeachCertificate of Waiver, Assisted living facility05D2296115
- Medex UCCertificate of Waiver, Other05D2271783
- Minuteclinic Diagnostic Medical GroupCertificate of Waiver, Other05D1074014
- Minuteclinic Primary Care- California #28315Certificate of Waiver, Other05D2323850
- Pacific Dermatology SpecialistsCertificate of Registration, Physician office05D2313319
Related
Questions
What is the CLIA number for Scpmg Seal Beach Target in Seal Beach?
05D2288422, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Scpmg Seal Beach Target hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2288422 expire?
The CMS file lists August 23, 2027 as the certificate expiration date; the certificate took effect August 24, 2025.