CLIA lab
CLIA 05D2312657: Proxima Medical Group
Glendale, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2312657 belongs to Proxima Medical Group in Glendale, CA.
Certificate of Waiver, effective October 16, 2024, expiration date October 15, 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
- October 16, 2024
- Certificate expiration
- October 15, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 16, 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
- 05D2312657
- Lab name
- Proxima Medical Group
- Address
- 800 S Central Ave Suite 206, Glendale, CA 91204
- Phone
- (818) 862-4000
- Fax
- (818) 616-8660
Annual test volume the lab reported
- Waived tests
- 1,000
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 Proxima Medical Group in Glendale?
05D2312657, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Proxima Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2312657 expire?
The CMS file lists October 15, 2026 as the certificate expiration date; the certificate took effect October 16, 2024.