CLIA lab
CLIA 05D2295976: Ivy Park at Playa Vista
Playa Vista, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2295976 belongs to Ivy Park at Playa Vista in Playa Vista, CA.
Certificate of Waiver, effective December 19, 2025, expires December 18, 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 19, 2025
- Certificate expiration
- December 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 19, 2023
- Facility type
- Assisted living facility
- 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
- 05D2295976
- Lab name
- Ivy Park at Playa Vista
- Address
- 5555 Playa Vista Drive, Playa Vista, CA 90094
- Phone
- (530) 227-5738
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Playa Vista, CA
- Avocet Playa VistaCertificate of Waiver, Assisted living facility05D2316812
- Exer Medical CorporationCertificate of Waiver, Other05D1098264
- Lax Surgery Center LLCCertificate of Waiver, Ambulatory surgery center05D2185535
- Silicon Beach Surgery Center IncCertificate of Waiver, Ambulatory surgery center05D2146908
Related
Questions
What is the CLIA number for Ivy Park at Playa Vista in Playa Vista?
05D2295976, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ivy Park at Playa Vista hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2295976 expire?
The CMS file lists December 18, 2027 as the certificate expiration date; the certificate took effect December 19, 2025.