CLIA lab

CLIA 05D1090811: Dejun Wang MD Inc

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

CLIA number 05D1090811 belongs to Dejun Wang MD Inc in Rowland Heights, CA.

Certificate of Waiver, effective October 20, 2024, expiration date October 19, 2026.

The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.

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
October 20, 2024
Certificate expiration
October 19, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
October 20, 2008
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
05D1090811
Lab name
Dejun Wang MD Inc
Address
19115 Colima Rd #104, Rowland Heights, CA 91748
Phone
(626) 810-2983
Fax
(626) 810-5741

Annual test volume the lab reported

Waived tests
100

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 Dejun Wang MD Inc in Rowland Heights?

05D1090811, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Dejun Wang MD Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1090811 expire?

The CMS file lists October 19, 2026 as the certificate expiration date; the certificate took effect October 20, 2024.

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