CLIA lab

CLIA 05D2306832: Broadway Laser Surgical Institute

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

CLIA number 05D2306832 belongs to Broadway Laser Surgical Institute in Glendale, CA.

Certificate of Waiver, effective June 25, 2026, expires June 24, 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
June 25, 2026
Certificate expiration
June 24, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 25, 2024
Facility type
Ambulatory surgery center
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
05D2306832
Lab name
Broadway Laser Surgical Institute
Address
1100 E Broadway #201, Glendale, CA 91205
Phone
(310) 474-2010
Fax
(310) 474-2009

Annual test volume the lab reported

Waived tests
12

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

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Questions

What is the CLIA number for Broadway Laser Surgical Institute in Glendale?

05D2306832, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Broadway Laser Surgical Institute hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2306832 expire?

The CMS file lists June 24, 2028 as the certificate expiration date; the certificate took effect June 25, 2026.

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