CLIA lab

CLIA 05D0927395: Patricia A. Brotman, M.D. Inc., Lab

Chino Hills, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D0927395 belongs to Patricia A. Brotman, M.D. Inc., Lab in Chino Hills, CA.

Certificate of Compliance, effective June 29, 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
June 29, 2024
Certificate expiration
October 31, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
April 21, 1997
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D0927395
Lab name
Patricia A. Brotman, M.D. Inc., Lab
Address
15944 Los Serranos Country Club Dr, Ste 180, Chino Hills, CA 91709
Phone
(909) 393-3393
Fax
(909) 597-7009

Annual test volume the lab reported

Other nonwaived tests
600

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Chino Hills, CA

Related

Questions

What is the CLIA number for Patricia A. Brotman, M.D. Inc., Lab in Chino Hills?

05D0927395, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Patricia A. Brotman, M.D. Inc., Lab hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 05D0927395 expire?

The CMS file lists October 31, 2026 as the certificate expiration date; the certificate took effect June 29, 2024.

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