CLIA lab
CLIA 05D0951367: Av Occupational Medicine
Lancaster, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0951367 belongs to Av Occupational Medicine in Lancaster, CA.
Certificate of Waiver, effective October 7, 2025, expires October 6, 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
- October 7, 2025
- Certificate expiration
- October 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 16, 1998
- 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
- 05D0951367
- Lab name
- Av Occupational Medicine
- Additional name
- Daniel O. Mongiano MD., A Prof. Medical Corp.
- Address
- 42220 10th St W Ste 109, Lancaster, CA 93534
- Phone
- (661) 951-9195
- Fax
- (661) 951-0024
Annual test volume the lab reported
- Waived tests
- 5,000
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 Av Occupational Medicine in Lancaster?
05D0951367, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Av Occupational Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0951367 expire?
The CMS file lists October 6, 2027 as the certificate expiration date; the certificate took effect October 7, 2025.