CLIA lab

CLIA 05D2295177: Mission Prep Healthcare LLC

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

CLIA number 05D2295177 belongs to Mission Prep Healthcare LLC in Rancho Palos Verdes, CA.

Certificate of Waiver, effective December 6, 2025, expires December 5, 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
December 6, 2025
Certificate expiration
December 5, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 6, 2023
Facility type
Other
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
05D2295177
Lab name
Mission Prep Healthcare LLC
Address
10 Martingale Dr, Rancho Palos Verdes, CA 90275
Phone
(949) 313-4709
Fax
(949) 579-2876

Annual test volume the lab reported

Waived tests
2,600

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

Other labs in Rancho Palos Verdes, CA

Related

Questions

What is the CLIA number for Mission Prep Healthcare LLC in Rancho Palos Verdes?

05D2295177, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mission Prep Healthcare LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2295177 expire?

The CMS file lists December 5, 2027 as the certificate expiration date; the certificate took effect December 6, 2025.

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