CLIA lab
CLIA 05D0903715: Ashvin Bhutwala MD
Victorville, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0903715 belongs to Ashvin Bhutwala MD in Victorville, CA.
Certificate of Waiver, effective July 27, 2025, expires July 26, 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 27, 2025
- Certificate expiration
- July 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 27, 1995
- 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
- 05D0903715
- Lab name
- Ashvin Bhutwala MD
- Address
- 17199 Yuma St Ste 1, Victorville, CA 92395
- Phone
- (760) 952-9555
- Fax
- (760) 952-3377
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.
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- Anupama Sharma, MD IncCertificate of Waiver, Physician office05D1107051
- Arthur E Jimenez, MD IncCertificate of Waiver, Physician office05D0962014
- Ashok Melvani, MDCertificate of Waiver, Physician office05D0920510
- Aspen Pediatric Clinic IncCertificate of Waiver, Physician office05D1034135
- Bear Valley Urgent CareCertificate of Waiver, Physician office05D2109012
- Biolife Plasma Services LPCertificate of Compliance, Other05D2309918
Related
Questions
What is the CLIA number for Ashvin Bhutwala MD in Victorville?
05D0903715, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ashvin Bhutwala MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0903715 expire?
The CMS file lists July 26, 2027 as the certificate expiration date; the certificate took effect July 27, 2025.