CLIA lab

CLIA 05D1095212: Patricia A Brotman MD Inc Corona Lab

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

CLIA number 05D1095212 belongs to Patricia A Brotman MD Inc Corona Lab in Corona, CA.

Certificate of Compliance, effective October 23, 2023, expires October 31, 2026.

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
October 23, 2023
Certificate expiration
October 31, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
February 4, 2009
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
05D1095212
Lab name
Patricia A Brotman MD Inc Corona Lab
Address
854 Magnolia Ave Ste 202, Corona, CA 92879
Phone
(951) 898-1118
Fax
(951) 898-0217

Annual test volume the lab reported

Other nonwaived tests
600

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Corona, CA

Related

Questions

What is the CLIA number for Patricia A Brotman MD Inc Corona Lab in Corona?

05D1095212, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Patricia A Brotman MD Inc Corona Lab hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 05D1095212 expire?

The CMS file lists October 31, 2026 as the certificate expiration date; the certificate took effect October 23, 2023.

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