CLIA lab
CLIA 05D2289593: Adventist Health White Memorial Advanced Imaging
Los Angeles, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2289593 belongs to Adventist Health White Memorial Advanced Imaging in Los Angeles, CA.
Certificate of Waiver, effective September 13, 2025, expires September 12, 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 13, 2025
- Certificate expiration
- September 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 13, 2023
- Facility type
- Other
- Ownership (control type)
- Religious affiliation
- 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
- 05D2289593
- Lab name
- Adventist Health White Memorial Advanced Imaging
- Address
- 1700 E Cesar E Chavez Ave Ste 1800, Los Angeles, CA 90033
- Phone
- (323) 268-5000
- Fax
- (323) 881-8712
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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Related
Questions
What is the CLIA number for Adventist Health White Memorial Advanced Imaging in Los Angeles?
05D2289593, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Adventist Health White Memorial Advanced Imaging hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2289593 expire?
The CMS file lists September 12, 2027 as the certificate expiration date; the certificate took effect September 13, 2025.