CLIA lab

CLIA 05D0556550: Bruce B Bagheri MD

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

CLIA number 05D0556550 belongs to Bruce B Bagheri MD in Glendale, CA.

Certificate of Waiver, effective June 21, 2025, expires June 20, 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
June 21, 2025
Certificate expiration
June 20, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
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
05D0556550
Lab name
Bruce B Bagheri MD
Address
1560 E Chevy Chase Dr Ste 445, Glendale, CA 91206
Phone
(818) 247-3938
Fax
(818) 247-7249

Other labs in Glendale, CA

Related

Questions

What is the CLIA number for Bruce B Bagheri MD in Glendale?

05D0556550, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Bruce B Bagheri MD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0556550 expire?

The CMS file lists June 20, 2027 as the certificate expiration date; the certificate took effect June 21, 2025.

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