CLIA lab
CLIA 05D2051545: R Ajakwe MD and R Tatevossian MD
Burbank, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2051545 belongs to R Ajakwe MD and R Tatevossian MD in Burbank, CA.
Certificate of Waiver, effective December 20, 2024, expires December 19, 2026.
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
- December 20, 2024
- Certificate expiration
- December 19, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 20, 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
- 05D2051545
- Lab name
- R Ajakwe MD and R Tatevossian MD
- Additional name
- A Professional Medical Corporation
- Address
- 201 S Buena Vista St Ste 238, Burbank, CA 91505
- Phone
- (818) 325-2088
- Fax
- (818) 563-6201
Annual test volume the lab reported
- Waived tests
- 5
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for R Ajakwe MD and R Tatevossian MD in Burbank?
05D2051545, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does R Ajakwe MD and R Tatevossian MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2051545 expire?
The CMS file lists December 19, 2026 as the certificate expiration date; the certificate took effect December 20, 2024.