CLIA lab
CLIA 05D1010448: Ben B Shenassa MD
Eagle Rock, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1010448 belongs to Ben B Shenassa MD in Eagle Rock, CA.
Certificate for Provider-Performed Microscopy Procedures, effective September 17, 2025, expires September 16, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- September 17, 2025
- Certificate expiration
- September 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 13, 2003
- 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
- 05D1010448
- Lab name
- Ben B Shenassa MD
- Address
- 2750 W Broadway, Eagle Rock, CA 90041
- Phone
- (818) 241-3125
- Fax
- (818) 241-1652
Annual test volume the lab reported
- Waived tests
- 7,000
- Provider-performed microscopy tests
- 7,000
- Total
- 14,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Eagle Rock, CA
Related
Questions
What is the CLIA number for Ben B Shenassa MD in Eagle Rock?
05D1010448, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ben B Shenassa MD hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D1010448 expire?
The CMS file lists September 16, 2027 as the certificate expiration date; the certificate took effect September 17, 2025.