CLIA lab
CLIA 05D2029272: Ravindra M Gautam MD Inc
Helendale, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2029272 belongs to Ravindra M Gautam MD Inc in Helendale, CA.
Certificate of Waiver, effective September 2, 2025, expires September 1, 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
- September 2, 2025
- Certificate expiration
- September 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 2, 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
- 05D2029272
- Lab name
- Ravindra M Gautam MD Inc
- Address
- 27170 Lakeview Dr, Helendale, CA 92342
- Phone
- (760) 243-9944
- Fax
- (760) 256-1055
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Ravindra M Gautam MD Inc in Helendale?
05D2029272, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ravindra M Gautam MD Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2029272 expire?
The CMS file lists September 1, 2027 as the certificate expiration date; the certificate took effect September 2, 2025.