CLIA lab

CLIA 05D2338342: Proactive Work Health Services

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

CLIA number 05D2338342 belongs to Proactive Work Health Services in Vernon, CA.

Certificate of Waiver, effective February 9, 2026, expires February 8, 2028.

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
February 9, 2026
Certificate expiration
February 8, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 9, 2026
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
05D2338342
Lab name
Proactive Work Health Services
Address
4580 Pacific Blvd, Vernon, CA 90058
Phone
(323) 584-0779
Fax
(323) 584-2282

Annual test volume the lab reported

Waived tests
100

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 Proactive Work Health Services in Vernon?

05D2338342, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Proactive Work Health Services hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2338342 expire?

The CMS file lists February 8, 2028 as the certificate expiration date; the certificate took effect February 9, 2026.

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