CLIA lab
CLIA 05D2322111: Pacific Advantage Medical Group Inc
Huntington Park, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2322111 belongs to Pacific Advantage Medical Group Inc in Huntington Park, CA.
Certificate of Waiver, effective April 15, 2025, expires April 14, 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
- April 15, 2025
- Certificate expiration
- April 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 15, 2025
- 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
- 05D2322111
- Lab name
- Pacific Advantage Medical Group Inc
- Address
- 7700 Pacific Blvd, Huntington Park, CA 90255
- Phone
- (323) 588-6101
Annual test volume the lab reported
- Waived tests
- 850
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Altamed Pace- Walnut ParkCertificate of Waiver, Federally qualified health center05D2283992
- Amg, A Professional Medical CorpCertificate of Waiver, Physician office05D0887287
- Centro De Cuidado Renal, LLCCertificate of Waiver, End stage renal disease dialysis facility05D2259838
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- Community Hospital of Huntington ParkCertificate of Accreditation, Hospital05D0949242
- Community Prenatal & Medical ClinicCertificate of Waiver, Physician office05D0973996
Related
Questions
What is the CLIA number for Pacific Advantage Medical Group Inc in Huntington Park?
05D2322111, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pacific Advantage Medical Group Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2322111 expire?
The CMS file lists April 14, 2027 as the certificate expiration date; the certificate took effect April 15, 2025.