CLIA lab
CLIA 05D0864862: Ava T Shamban MD Inc
Santa Monica, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0864862 belongs to Ava T Shamban MD Inc in Santa Monica, CA.
Certificate of Compliance, effective April 18, 2024, expires October 31, 2026.
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 Compliance
- Certificate effective
- April 18, 2024
- Certificate expiration
- October 31, 2026
- 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
- 05D0864862
- Lab name
- Ava T Shamban MD Inc
- Address
- 2021 Santa Monica Blvd Ste 600-E, Santa Monica, CA 90404
- Phone
- (310) 828-2282
- Fax
- (310) 828-8504
Annual test volume the lab reported
- Other nonwaived tests
- 1,000
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 Ava T Shamban MD Inc in Santa Monica?
05D0864862, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ava T Shamban MD Inc hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D0864862 expire?
The CMS file lists October 31, 2026 as the certificate expiration date; the certificate took effect April 18, 2024.