CLIA lab

CLIA 05D2095934: Nahel Al Bouz, MD

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

CLIA number 05D2095934 belongs to Nahel Al Bouz, MD in Upland, CA.

Certificate of Waiver, effective May 13, 2025, expires May 12, 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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
May 13, 2025
Certificate expiration
May 12, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 13, 2015
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
05D2095934
Lab name
Nahel Al Bouz, MD
Additional name
A Proffessional Medical Corporation
Address
811 E 11th St Ste 203, Upland, CA 91786
Phone
(909) 581-6420
Fax
(909) 982-2322

Annual test volume the lab reported

Waived tests
540

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Upland, CA

Related

Questions

What is the CLIA number for Nahel Al Bouz, MD in Upland?

05D2095934, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Nahel Al Bouz, MD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2095934 expire?

The CMS file lists May 12, 2027 as the certificate expiration date; the certificate took effect May 13, 2025.

Try it on your own data today.

Free to start. Most teams are using it the same day.