CLIA lab

CLIA 05D2291415: Marina Del Rey Pharmacy

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

CLIA number 05D2291415 belongs to Marina Del Rey Pharmacy in Marina Del Rey, CA.

Certificate of Waiver, effective October 10, 2025, expires October 9, 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
October 10, 2025
Certificate expiration
October 9, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 10, 2023
Facility type
Pharmacy
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
05D2291415
Lab name
Marina Del Rey Pharmacy
Address
4558 Admiralty Way, Marina Del Rey, CA 90292
Phone
(310) 823-5311
Fax
(310) 577-7562

Annual test volume the lab reported

Waived tests
300

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

Other labs in Marina Del Rey, CA

Related

Questions

What is the CLIA number for Marina Del Rey Pharmacy in Marina Del Rey?

05D2291415, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Marina Del Rey Pharmacy hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2291415 expire?

The CMS file lists October 9, 2027 as the certificate expiration date; the certificate took effect October 10, 2025.

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