CLIA lab

CLIA 05D0969901: Luis Hernandez MD

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

CLIA number 05D0969901 belongs to Luis Hernandez MD in Montebello, CA.

Certificate of Waiver, effective January 31, 2026, expires January 30, 2028.

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
January 31, 2026
Certificate expiration
January 30, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 31, 2000
Facility type
Physician office
Ownership (control type)
Private
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
05D0969901
Lab name
Luis Hernandez MD
Address
1817 Beverly Bvd, Montebello, CA 90640
Phone
(323) 721-5524
Fax
(323) 837-1465

Annual test volume the lab reported

Waived tests
200

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

Other labs in Montebello, CA

Related

Questions

What is the CLIA number for Luis Hernandez MD in Montebello?

05D0969901, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Luis Hernandez MD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0969901 expire?

The CMS file lists January 30, 2028 as the certificate expiration date; the certificate took effect January 31, 2026.

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