CLIA lab
CLIA 05D0955927: Ibrahim I Hanna MD
Glendora, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0955927 belongs to Ibrahim I Hanna MD in Glendora, CA.
Certificate of Waiver, effective October 5, 2025, expires October 4, 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 5, 2025
- Certificate expiration
- October 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 13, 1999
- 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
- 05D0955927
- Lab name
- Ibrahim I Hanna MD
- Address
- 640 W Foothill Blvd Ste 100, Glendora, CA 91741
- Phone
- (626) 335-4041
- Fax
- (626) 335-3768
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Related
Questions
What is the CLIA number for Ibrahim I Hanna MD in Glendora?
05D0955927, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ibrahim I Hanna MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0955927 expire?
The CMS file lists October 4, 2027 as the certificate expiration date; the certificate took effect October 5, 2025.