CLIA lab
CLIA 05D2315876: Clinica Medica Pacoima
Pacoima, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2315876 belongs to Clinica Medica Pacoima in Pacoima, CA.
Certificate of Waiver, effective December 20, 2024, expires December 19, 2026.
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
- December 20, 2024
- Certificate expiration
- December 19, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 20, 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
- 05D2315876
- Lab name
- Clinica Medica Pacoima
- Address
- 13630 Van Nuys Blvd Ste 107, Pacoima, CA 91331
- Phone
- (747) 777-6099
Annual test volume the lab reported
- Waived tests
- 250
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 Clinica Medica Pacoima in Pacoima?
05D2315876, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Clinica Medica Pacoima hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2315876 expire?
The CMS file lists December 19, 2026 as the certificate expiration date; the certificate took effect December 20, 2024.