CLIA lab
CLIA 05D2121136: Faculty Physicians & Surgeon
Loma Linda, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2121136 belongs to Faculty Physicians & Surgeon in Loma Linda, CA.
Certificate of Waiver, effective November 2, 2024, expires November 1, 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
- November 2, 2024
- Certificate expiration
- November 1, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 31, 2016
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- 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
- 05D2121136
- Lab name
- Faculty Physicians & Surgeon
- Additional name
- Of Llusm DBA CHP
- Address
- 24785 Stewart St, Ste 111, Evans Hall, Loma Linda, CA 92354
- Phone
- (909) 558-4594
- Fax
- (909) 558-0433
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.
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- Faculty Physicians & Surgeons of LlusmCertificate for Provider-Performed Microscopy Procedures, Physician office05D0877993
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- Faculty Physicians & Surgeons of Llusm-Certificate for Provider-Performed Microscopy Procedures, Physician office05D0966912
- Faculty Physicians and Surgeons ofCertificate of Waiver, Physician office05D1011546
Related
Questions
What is the CLIA number for Faculty Physicians & Surgeon in Loma Linda?
05D2121136, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Faculty Physicians & Surgeon hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2121136 expire?
The CMS file lists November 1, 2026 as the certificate expiration date; the certificate took effect November 2, 2024.