CLIA lab

CLIA 05D2319997: Amg A Professional Medical Corp

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

CLIA number 05D2319997 belongs to Amg A Professional Medical Corp in Los Angeles, CA.

Certificate of Waiver, effective March 11, 2025, expires March 10, 2027.

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
March 11, 2025
Certificate expiration
March 10, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 11, 2025
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

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

Lab and contact

CLIA number
05D2319997
Lab name
Amg A Professional Medical Corp
Additional name
DBA Clinica Humanitaria
Address
3500 E Whittier Blvd, Suite 105, Los Angeles, CA 90023
Phone
(323) 262-8100
Fax
(323) 262-2146

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.

Affiliated CLIA numbers

Other labs in Los Angeles, CA

Related

Questions

What is the CLIA number for Amg A Professional Medical Corp in Los Angeles?

05D2319997, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Amg A Professional Medical Corp hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2319997 expire?

The CMS file lists March 10, 2027 as the certificate expiration date; the certificate took effect March 11, 2025.

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