CLIA lab
CLIA 05D2289441: Elite Fmaily Medicine
Glendale, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2289441 belongs to Elite Fmaily Medicine in Glendale, CA.
Certificate of Waiver, effective September 11, 2025, expires September 10, 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
- September 11, 2025
- Certificate expiration
- September 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 11, 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
- 05D2289441
- Lab name
- Elite Fmaily Medicine
- Address
- 1911 W Glenoaks Blvd B, Glendale, CA 91201
- Phone
- (818) 843-6640
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- 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 Elite Fmaily Medicine in Glendale?
05D2289441, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Elite Fmaily Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2289441 expire?
The CMS file lists September 10, 2027 as the certificate expiration date; the certificate took effect September 11, 2025.