CLIA lab
CLIA 05D1020675: Mustaqeem A Qazi MD and
Indio, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1020675 belongs to Mustaqeem A Qazi MD and in Indio, CA.
Certificate of Waiver, effective December 29, 2025, expires December 28, 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
- December 29, 2025
- Certificate expiration
- December 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 29, 2003
- 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
- 05D1020675
- Lab name
- Mustaqeem A Qazi MD and
- Additional name
- Thi Kim Loan Pham MD
- Address
- 82013 Dr Carreon Boulevard, Suite C, Indio, CA 92201
- Phone
- (760) 863-0138
- Fax
- (760) 863-0471
Annual test volume the lab reported
- Waived tests
- 1,000
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 Mustaqeem A Qazi MD and in Indio?
05D1020675, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mustaqeem A Qazi MD and hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1020675 expire?
The CMS file lists December 28, 2027 as the certificate expiration date; the certificate took effect December 29, 2025.