CLIA lab

CLIA 05D2028662: Ichimi Doushin Resources, Inc

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

CLIA number 05D2028662 belongs to Ichimi Doushin Resources, Inc in City Of Industry, CA.

Certificate of Waiver, effective August 22, 2025, expires August 21, 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
August 22, 2025
Certificate expiration
August 21, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 22, 2011
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
05D2028662
Lab name
Ichimi Doushin Resources, Inc
Additional name
DBA X-Med Healthcare Professionals
Address
18605 Gale Ave Ste 240, City Of Industry, CA 91748
Phone
(626) 581-1282
Fax
(888) 491-5175

Annual test volume the lab reported

Waived tests
50

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

Other labs in City Of Industry, CA

Related

Questions

What is the CLIA number for Ichimi Doushin Resources, Inc in City Of Industry?

05D2028662, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ichimi Doushin Resources, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2028662 expire?

The CMS file lists August 21, 2027 as the certificate expiration date; the certificate took effect August 22, 2025.

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