CLIA lab
CLIA 05D0720479: Jorge R Lopez MD
Rosemead, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0720479 belongs to Jorge R Lopez MD in Rosemead, CA.
Certificate for Provider-Performed Microscopy Procedures, effective September 1, 2026, expires August 31, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 19, 1993
- 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
- 05D0720479
- Lab name
- Jorge R Lopez MD
- Address
- 1168 N San Gabriel Blvd B, Rosemead, CA 91770
- Phone
- (626) 288-4741
- Fax
- (626) 288-4797
Annual test volume the lab reported
- Waived tests
- 775
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- BHC Alhambra HospitalCertificate of Waiver, Other05D0898863
- Bright Care Home HealthCertificate of Waiver, Home health agency05D1047136
- Bright Mind Community Services IncCertificate of Waiver, Other05D2308540
- Bunchen R Fan, MDCertificate of Waiver, Physician office05D0928533
- Chau M Le MDCertificate of Waiver, Physician office05D0900046
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Related
Questions
What is the CLIA number for Jorge R Lopez MD in Rosemead?
05D0720479, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jorge R Lopez MD hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0720479 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.