CLIA lab

CLIA 05D2302965: Jey Promed Corporation

Buena Park, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2302965 belongs to Jey Promed Corporation in Buena Park, CA.

Certificate of Waiver, effective April 18, 2026, expires April 17, 2028.

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
April 18, 2026
Certificate expiration
April 17, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 18, 2024
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
05D2302965
Lab name
Jey Promed Corporation
Address
5450 Beach Blvd Suite 100, Buena Park, CA 90621
Phone
(714) 752-6273

Annual test volume the lab reported

Waived tests
100

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

Other labs in Buena Park, CA

Related

Questions

What is the CLIA number for Jey Promed Corporation in Buena Park?

05D2302965, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Jey Promed Corporation hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2302965 expire?

The CMS file lists April 17, 2028 as the certificate expiration date; the certificate took effect April 18, 2026.

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