CLIA lab
CLIA 05D1066053: Daniel Behroozan, MD
Santa Monica, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1066053 belongs to Daniel Behroozan, MD in Santa Monica, CA.
Certificate of Compliance, effective March 12, 2026, expires March 11, 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 Compliance
- Certificate effective
- March 12, 2026
- Certificate expiration
- March 11, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 14, 2007
- 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
- 05D1066053
- Lab name
- Daniel Behroozan, MD
- Address
- 2221 Lincoln Blvd, Ste 100, Santa Monica, CA 90405
- Phone
- (310) 392-1111
- Fax
- (310) 392-1101
Annual test volume the lab reported
- Waived tests
- 100
- Provider-performed microscopy tests
- 100
- Other nonwaived tests
- 600
- Total
- 800
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 Daniel Behroozan, MD in Santa Monica?
05D1066053, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Daniel Behroozan, MD hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D1066053 expire?
The CMS file lists March 11, 2028 as the certificate expiration date; the certificate took effect March 12, 2026.