CLIA lab
CLIA 05D0865769: Vijay M Dhawan MD Inc
Montebello, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0865769 belongs to Vijay M Dhawan MD Inc in Montebello, CA.
Certificate of Waiver, effective July 2, 2025, expires July 1, 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
- July 2, 2025
- Certificate expiration
- July 1, 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
- 05D0865769
- Lab name
- Vijay M Dhawan MD Inc
- Address
- 3420 West Beverly Boulevard, Montebello, CA 90640
- Phone
- (323) 721-9411
- Fax
- (323) 887-4932
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Montebello, CA
- A Shawn Adhami MD A Professional CorpCertificate of Waiver, Physician office05D1033024
- Adventist Health White MemorialCertificate of Accreditation, Hospital05D0552242
- Adventist Health White MemorialCertificate of Waiver, Hospital05D0925580
- Adventist Health White Memorial Montebello CenterCertificate of Waiver, Other05D2313057
- Arbelos1 LLCCertificate of Accreditation, Independent05D2309204
- Art Vascular & Intervention Associates, IncCertificate of Waiver, Physician office05D2333140
- Atlantis Surgery Center MontebelloCertificate of Waiver, Ambulatory surgery center05D1097693
- Bertha A Gonzalez DO IncCertificate of Waiver, Physician office05D0955422
- Beverly Pediatric Medical Group IncCertificate of Waiver, Physician office05D0894885
- BeverlycareCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D2054780
Related
Questions
What is the CLIA number for Vijay M Dhawan MD Inc in Montebello?
05D0865769, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Vijay M Dhawan MD Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0865769 expire?
The CMS file lists July 1, 2027 as the certificate expiration date; the certificate took effect July 2, 2025.