CLIA lab

CLIA 05D2304616: Kids & Teens Medical Group

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

CLIA number 05D2304616 belongs to Kids & Teens Medical Group in Glendale, CA.

Certificate of Waiver, effective May 15, 2026, expires May 14, 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
May 15, 2026
Certificate expiration
May 14, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 15, 2024
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
6

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D2304616
Lab name
Kids & Teens Medical Group
Address
1530 E Chevy Chase Dr, Ste 202, Glendale, CA 91206
Phone
(818) 361-5437
Fax
(626) 406-1800

Annual test volume the lab reported

Waived tests
450

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

Affiliated CLIA numbers

Other labs in Glendale, CA

Related

Questions

What is the CLIA number for Kids & Teens Medical Group in Glendale?

05D2304616, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kids & Teens Medical Group hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2304616 expire?

The CMS file lists May 14, 2028 as the certificate expiration date; the certificate took effect May 15, 2026.

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