CLIA lab
CLIA 05D2042079: Faculty Physicians & Surgeons of Llusm,
Loma Linda, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2042079 belongs to Faculty Physicians & Surgeons of Llusm, in Loma Linda, CA.
Certificate of Waiver, effective November 17, 2025, expires November 16, 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
- November 17, 2025
- Certificate expiration
- November 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 5, 2012
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- 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
- 05D2042079
- Lab name
- Faculty Physicians & Surgeons of Llusm,
- Additional name
- Dept of Ophthalmology
- Address
- 11370 Anderson St Ste 1800, Loma Linda, CA 92354
- Phone
- (909) 558-2112
- Fax
- (909) 558-2180
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Faculty Physicians & Surgeons of LlusmCertificate for Provider-Performed Microscopy Procedures, Physician office05D0877993
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- Faculty Physicians and Surgeons ofCertificate of Waiver, Physician office05D1011546
Related
Questions
What is the CLIA number for Faculty Physicians & Surgeons of Llusm, in Loma Linda?
05D2042079, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Faculty Physicians & Surgeons of Llusm, hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2042079 expire?
The CMS file lists November 16, 2027 as the certificate expiration date; the certificate took effect November 17, 2025.