CLIA lab
CLIA 05D2343046: Prime Valley Medical Center Inc
Granada Hills, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2343046 belongs to Prime Valley Medical Center Inc in Granada Hills, CA.
Certificate of Waiver, effective April 30, 2026, expires April 29, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 30, 2026
- Certificate expiration
- April 29, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 30, 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
- 05D2343046
- Lab name
- Prime Valley Medical Center Inc
- Address
- 17541 Chatsworth St, Granada Hills, CA 91344
- Phone
- (818) 617-9799
- Fax
- (818) 617-9798
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.
Other labs in Granada Hills, CA
- Aegis of Granada HillsCertificate of Waiver, Assisted living facility05D2046223
- Afc Urgent Care San DiegoCertificate of Waiver, Physician office05D2129632
- All Valley Congregate Living, IncCertificate of Waiver, Other05D2306802
- Allergy & Asthma Relief ExpertsCertificate of Waiver, Physician office05D2009173
- Altruistic Hospice, IncCertificate of Waiver, Hospice05D2131374
- Amazing Health Care ServicesCertificate of Waiver, Home health agency05D2337449
- Aurora Congregate HealthCertificate of Waiver, Skilled nursing or nursing facility05D2335213
- Believe Detox CenterCertificate of Waiver, Ancillary test site05D2263056
- Better Days Adult Day Health Care CenterCertificate of Waiver, Other05D2335088
- Bright Future Home Care Services, IncCertificate of Waiver, Home health agency05D2293453
Related
Questions
What is the CLIA number for Prime Valley Medical Center Inc in Granada Hills?
05D2343046, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Prime Valley Medical Center Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2343046 expire?
The CMS file lists April 29, 2028 as the certificate expiration date; the certificate took effect April 30, 2026.