CLIA lab
CLIA 05D1015769: Blanca B Hampton, MD
Anaheim, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1015769 belongs to Blanca B Hampton, MD in Anaheim, CA.
Certificate of Waiver, effective August 12, 2025, expires August 11, 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
- August 12, 2025
- Certificate expiration
- August 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 12, 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
- 05D1015769
- Lab name
- Blanca B Hampton, MD
- Address
- 1110 W La Palma Avenue Suite 1, Anaheim, CA 92801
- Phone
- (714) 991-3180
- Fax
- (714) 991-1957
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Blanca B Hampton, MD in Anaheim?
05D1015769, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Blanca B Hampton, MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1015769 expire?
The CMS file lists August 11, 2027 as the certificate expiration date; the certificate took effect August 12, 2025.