CLIA lab
CLIA 05D0968882: Hrach Khudatyan MD
Glendale, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0968882 belongs to Hrach Khudatyan MD in Glendale, CA.
Certificate of Waiver, effective December 27, 2025, expires December 26, 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
- December 27, 2025
- Certificate expiration
- December 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 27, 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
- 05D0968882
- Lab name
- Hrach Khudatyan MD
- Address
- 134 N Glendale Ave, Glendale, CA 91206
- Phone
- (818) 662-8858
- Fax
- (818) 662-8987
Annual test volume the lab reported
- Waived tests
- 3,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- A & P Home Health, IncCertificate of Waiver, Home health agency05D1098714
- A To Z Home Health, IncCertificate of Waiver, Home health agency05D1088605
- A&e Home Health Care IncCertificate of Waiver, Home health agency05D2315987
- Aaa Hospice Care & Nursing IncCertificate of Waiver, Hospice05D2313109
- Above Care Home HealthCertificate of Waiver, Independent05D2168402
- Advance Care Home Health Agency IncCertificate of Waiver, Home health agency05D2220052
- Advanced Global Healthcare IncCertificate of Waiver, Hospice05D2240620
- Adventist Health Glendale LaboratoryCertificate of Accreditation, Hospital05D0059868
- Adventist Health Glendale LaboratoryCertificate of Waiver, Hospital05D0874231
Related
Questions
What is the CLIA number for Hrach Khudatyan MD in Glendale?
05D0968882, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hrach Khudatyan MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0968882 expire?
The CMS file lists December 26, 2027 as the certificate expiration date; the certificate took effect December 27, 2025.