CLIA lab

CLIA 05D2311821: Encino Surgical Group

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

CLIA number 05D2311821 belongs to Encino Surgical Group in Encino, CA.

Certificate of Waiver, effective September 30, 2024, expiration date September 29, 2026.

The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.

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
September 30, 2024
Certificate expiration
September 29, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
September 30, 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
05D2311821
Lab name
Encino Surgical Group
Address
16250 Ventura Blvd Ste 345, Encino, CA 91436
Phone
(310) 277-9905
Fax
(310) 277-9912

Annual test volume the lab reported

Waived tests
150

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

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Related

Questions

What is the CLIA number for Encino Surgical Group in Encino?

05D2311821, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Encino Surgical Group hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2311821 expire?

The CMS file lists September 29, 2026 as the certificate expiration date; the certificate took effect September 30, 2024.

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