CLIA lab

CLIA 05D2110400: Kenneth W Lee MD & Associates Inc

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

CLIA number 05D2110400 belongs to Kenneth W Lee MD & Associates Inc in Pomona, CA.

Certificate of Accreditation, effective December 11, 2024, expires December 10, 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 Accreditation
Certificate effective
December 11, 2024
Certificate expiration
December 10, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
March 14, 2016
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Accrediting organizations
American Osteopathic Association (AOA)

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D2110400
Lab name
Kenneth W Lee MD & Associates Inc
Address
210 W Bonita Ave Ste 140, Pomona, CA 91767
Phone
(909) 622-3800
Fax
(909) 622-2600

Annual test volume the lab reported

Tests under accreditation
9,600

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 Kenneth W Lee MD & Associates Inc in Pomona?

05D2110400, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kenneth W Lee MD & Associates Inc hold?

A Certificate of Accreditation, according to the CMS file.

When does CLIA 05D2110400 expire?

The CMS file lists December 10, 2026 as the certificate expiration date; the certificate took effect December 11, 2024.

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