CLIA lab
CLIA 05D2345753: Practice of Medicine
Eagle Rock, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2345753 belongs to Practice of Medicine in Eagle Rock, CA.
Certificate of Waiver, effective June 17, 2026, expires June 16, 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
- June 17, 2026
- Certificate expiration
- June 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 17, 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
- 05D2345753
- Lab name
- Practice of Medicine
- Address
- 2607 Colorado Blvd Ste 200, Eagle Rock, CA 90041
- Phone
- (213) 802-2555
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Eagle Rock, CA
Related
Questions
What is the CLIA number for Practice of Medicine in Eagle Rock?
05D2345753, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Practice of Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2345753 expire?
The CMS file lists June 16, 2028 as the certificate expiration date; the certificate took effect June 17, 2026.