CLIA lab

CLIA 05D1018990: Robert J Wielenga MD

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

CLIA number 05D1018990 belongs to Robert J Wielenga MD in Downey, CA.

Certificate of Waiver, effective November 6, 2025, expires November 5, 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
November 6, 2025
Certificate expiration
November 5, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 6, 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
05D1018990
Lab name
Robert J Wielenga MD
Address
10835 New St, Downey, CA 90241
Phone
(562) 923-9100
Fax
(562) 923-9103

Annual test volume the lab reported

Waived tests
960

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 Robert J Wielenga MD in Downey?

05D1018990, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Robert J Wielenga MD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1018990 expire?

The CMS file lists November 5, 2027 as the certificate expiration date; the certificate took effect November 6, 2025.

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