CLIA lab
CLIA 05D1089637: Vikram Kothandaraman, MD
Los Angeles, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1089637 belongs to Vikram Kothandaraman, MD in Los Angeles, CA.
Certificate of Waiver, effective May 3, 2025, expires May 2, 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
- May 3, 2025
- Certificate expiration
- May 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 23, 2008
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1089637
- Lab name
- Vikram Kothandaraman, MD
- Address
- 2226 E. Cesar Chavez Ave., Los Angeles, CA 90033
- Phone
- (323) 266-4445
- Fax
- (323) 354-4094
Annual test volume the lab reported
- Waived tests
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Los Angeles, CA
- 1 Method CenterCertificate of Waiver, Other05D2122141
- 1 Method CenterCertificate of Waiver, Ancillary test site05D2222235
- 1 Method CorpCertificate of Waiver, Other05D2227773
- 1 Method CorpCertificate of Waiver, Other05D2295974
- 10X Health Ventures, LLCCertificate of Waiver, Other05D2314925
- 1741 Hauser Blvd Detox LLCCertificate of Waiver, Other05D2292193
- 2080 Century Park LaboratoryCertificate of Compliance, Independent05D0669071
- 2nd Century Adult Day Hlth Care IncCertificate of Waiver, Other05D0984182
- 2nd Home Adult Health Care IncCertificate of Waiver, Other05D2344147
- 300 S Robertson Dialysis, LLCCertificate of Waiver, End stage renal disease dialysis facility05D0962071
Related
Questions
What is the CLIA number for Vikram Kothandaraman, MD in Los Angeles?
05D1089637, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Vikram Kothandaraman, MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1089637 expire?
The CMS file lists May 2, 2027 as the certificate expiration date; the certificate took effect May 3, 2025.