CLIA lab
CLIA 05D2040283: Ketan G Bhakta MD
Fountain Valley, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2040283 belongs to Ketan G Bhakta MD in Fountain Valley, CA.
Certificate for Provider-Performed Microscopy Procedures, effective April 26, 2026, expires April 25, 2028.
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
- April 26, 2026
- Certificate expiration
- April 25, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 26, 2012
- 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
- 05D2040283
- Lab name
- Ketan G Bhakta MD
- Address
- 18111 Brookhurst St, #6300, Fountain Valley, CA 92708
- Phone
- (714) 847-6727
- Fax
- (714) 847-6643
Annual test volume the lab reported
- Provider-performed microscopy tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fountain Valley, CA
- Acacia HH&P of Southern California, LLCCertificate of Waiver, Home health agency05D2121243
- Acacia Hospice and Palliative ServicesCertificate of Waiver, Hospice05D2104659
- Ahmed Alsadek, M.D., IncCertificate of Waiver, Physician office05D2305500
- Ajit S Sawhney, MDCertificate of Waiver, Physician office05D2120988
- Alliance Hospice & Palliative Care IncCertificate of Waiver, Hospice05D2127225
- Ark Clinical Research, LLCCertificate of Waiver, Physician office05D2230389
- Asana Recovery - MagnoliaCertificate of Waiver, Other05D2260331
- Best Golden Care Hospice IncCertificate of Waiver, Hospice05D2059165
- Bio Path Medical Group IncCertificate of Compliance, Independent05D0914742
- Bio-Path Medical Group IncCertificate of Compliance, Independent05D0974660
Related
Questions
What is the CLIA number for Ketan G Bhakta MD in Fountain Valley?
05D2040283, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ketan G Bhakta MD hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D2040283 expire?
The CMS file lists April 25, 2028 as the certificate expiration date; the certificate took effect April 26, 2026.