CLIA lab

CLIA 05D2084497: Henry Kaw, MD Inc

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

CLIA number 05D2084497 belongs to Henry Kaw, MD Inc in Fullerton, CA.

Certificate for Provider-Performed Microscopy Procedures, effective September 24, 2026, expires September 23, 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
September 24, 2026
Certificate expiration
September 23, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 24, 2014
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
05D2084497
Lab name
Henry Kaw, MD Inc
Address
321 N Pomona Ave Ste B, Fullerton, CA 92832
Phone
(714) 462-8383
Fax
(714) 462-8384

Annual test volume the lab reported

Waived tests
2,400
Provider-performed microscopy tests
200
Total
2,600

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 Henry Kaw, MD Inc in Fullerton?

05D2084497, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Henry Kaw, MD Inc hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 05D2084497 expire?

The CMS file lists September 23, 2028 as the certificate expiration date; the certificate took effect September 24, 2026.

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