CLIA lab

CLIA 05D0983617: Victor M Wassily MD

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

CLIA number 05D0983617 belongs to Victor M Wassily MD in Montebello, CA.

Certificate of Waiver, effective August 21, 2026, expires August 20, 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
August 21, 2026
Certificate expiration
August 20, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 27, 2001
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
05D0983617
Lab name
Victor M Wassily MD
Address
101 East Beverly Blvd Suite 202, Montebello, CA 90640
Phone
(323) 722-7711
Fax
(323) 722-7127

Annual test volume the lab reported

Waived tests
100

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

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Questions

What is the CLIA number for Victor M Wassily MD in Montebello?

05D0983617, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Victor M Wassily MD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0983617 expire?

The CMS file lists August 20, 2028 as the certificate expiration date; the certificate took effect August 21, 2026.

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