CLIA lab
CLIA 05D0722407: Ravindranath V Shahane, MD
Rialto, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0722407 belongs to Ravindranath V Shahane, MD in Rialto, CA.
Certificate of Waiver, effective April 5, 2025, expires April 4, 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
- April 5, 2025
- Certificate expiration
- April 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 6, 1994
- 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
- 05D0722407
- Lab name
- Ravindranath V Shahane, MD
- Address
- 1734 N Riverside Ave Ste 2, Rialto, CA 92376
- Phone
- (909) 875-3595
- Fax
- (909) 875-1029
Annual test volume the lab reported
- Waived tests
- 400
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 Ravindranath V Shahane, MD in Rialto?
05D0722407, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ravindranath V Shahane, MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0722407 expire?
The CMS file lists April 4, 2027 as the certificate expiration date; the certificate took effect April 5, 2025.