CLIA lab
CLIA 05D0966912: Faculty Physicians & Surgeons of Llusm-
Loma Linda, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0966912 belongs to Faculty Physicians & Surgeons of Llusm- in Loma Linda, CA.
Certificate for Provider-Performed Microscopy Procedures, effective December 4, 2024, expires December 3, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- December 4, 2024
- Certificate expiration
- December 3, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 27, 1999
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- 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
- 05D0966912
- Lab name
- Faculty Physicians & Surgeons of Llusm-
- Additional name
- Im Specialty Clinics
- Address
- 11370 Anderson St Ste 3650, Loma Linda, CA 92354
- Phone
- (909) 558-2628
- Fax
- (909) 558-2419
Annual test volume the lab reported
- Waived tests
- 20
- Provider-performed microscopy tests
- 150
- Total
- 170
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Faculty Physicians & Surgeons of LlusmCertificate of Accreditation, Other05D0682137
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- Faculty Physicians and Surgeons ofCertificate of Waiver, Physician office05D1011546
Related
Questions
What is the CLIA number for Faculty Physicians & Surgeons of Llusm- in Loma Linda?
05D0966912, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Faculty Physicians & Surgeons of Llusm- hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0966912 expire?
The CMS file lists December 3, 2026 as the certificate expiration date; the certificate took effect December 4, 2024.