CLIA lab
CLIA 05D2120979: Kenneth Russ, MD
Desert Hot Springs, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2120979 belongs to Kenneth Russ, MD in Desert Hot Springs, CA.
Certificate of Waiver, effective October 27, 2024, expires October 26, 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
- October 27, 2024
- Certificate expiration
- October 26, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 27, 2016
- Facility type
- Other
- 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
- 05D2120979
- Lab name
- Kenneth Russ, MD
- Address
- 7885 Annadale Ave, Desert Hot Springs, CA 92240
- Phone
- (760) 416-6773
- Fax
- (760) 416-6843
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Desert Hot Springs, CA
- Angel View, IncCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D1068365
- Dap Health - Desert Hot SpringsCertificate of Waiver, Federally qualified health center05D2066385
- Dap Health - San Jacinto Community Health CenterCertificate of Waiver, Federally qualified health center05D2015964
- Desert Oasis Healthcare DHS PCCertificate of Waiver, Physician office05D2298753
- Living Longer Recovery LLCCertificate of Waiver, Other05D2187537
- Vons Pharmacy # 2177Certificate of Waiver, Pharmacy05D2065803
- Walgreens 05037Certificate of Waiver, Pharmacy05D2297166
Related
Questions
What is the CLIA number for Kenneth Russ, MD in Desert Hot Springs?
05D2120979, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kenneth Russ, MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2120979 expire?
The CMS file lists October 26, 2026 as the certificate expiration date; the certificate took effect October 27, 2024.