CLIA lab

CLIA 05D0965017: Rupal B Shah MD Inc

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

CLIA number 05D0965017 belongs to Rupal B Shah MD Inc in Corona, CA.

Certificate of Waiver, effective July 9, 2025, expires July 8, 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 9, 2025
Certificate expiration
July 8, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 8, 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
05D0965017
Lab name
Rupal B Shah MD Inc
Address
770 Magnolia Avenue, Suite 1-K, Corona, CA 92879
Phone
(951) 738-0303
Fax
(951) 738-0393

Annual test volume the lab reported

Waived tests
50

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

Other labs in Corona, CA

Related

Questions

What is the CLIA number for Rupal B Shah MD Inc in Corona?

05D0965017, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Rupal B Shah MD Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0965017 expire?

The CMS file lists July 8, 2027 as the certificate expiration date; the certificate took effect July 9, 2025.

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