CLIA lab
CLIA 05D1107032: Paulus Santoso, MD, Apc DBA Abella Medical Group
Riverside, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1107032 belongs to Paulus Santoso, MD, Apc DBA Abella Medical Group in Riverside, CA.
Certificate for Provider-Performed Microscopy Procedures, effective October 27, 2025, expires October 26, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- October 27, 2025
- Certificate expiration
- October 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 27, 2009
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1107032
- Lab name
- Paulus Santoso, MD, Apc DBA Abella Medical Group
- Address
- 6969 Brockton Ave Ste A, Riverside, CA 92506
- Phone
- (951) 530-8989
- Fax
- (951) 530-8877
Annual test volume the lab reported
- Waived tests
- 300
- Provider-performed microscopy tests
- 30
- Total
- 330
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Riverside, CA
- 10 Acre Ranch, Inc.Certificate of Waiver, Other05D2289987
- 3 E Pharmacy CorpCertificate of Waiver, Pharmacy05D2223129
- 92503Certificate of Waiver, Physician office05D2230114
- A-Quest Health Care IncCertificate of Waiver, Home health agency05D2043489
- Advance Care Services Inc, DBA Care Plus PharmacyCertificate of Waiver, Pharmacy05D2265041
- Afc Urgent Care RiversideCertificate of Accreditation, Other practitioner05D2095320
- Affinity Home Health Services, IncCertificate of Waiver, Home health agency05D1070005
- Agile Occupational Medicine, PCCertificate of Waiver, Physician office05D2331790
- Akeso Occupational Health - RiversideCertificate of Waiver, Physician office05D2314046
- Alta Vista Healthcare and Wellness CentreCertificate of Waiver, Skilled nursing or nursing facility05D0575422
Related
Questions
What is the CLIA number for Paulus Santoso, MD, Apc DBA Abella Medical Group in Riverside?
05D1107032, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Paulus Santoso, MD, Apc DBA Abella Medical Group hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D1107032 expire?
The CMS file lists October 26, 2027 as the certificate expiration date; the certificate took effect October 27, 2025.