CLIA lab

CLIA 05D2128364: Yong Tan, MD

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

CLIA number 05D2128364 belongs to Yong Tan, MD in Brawley, CA.

Certificate of Waiver, effective March 29, 2025, expires March 28, 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

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
March 29, 2025
Certificate expiration
March 28, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 29, 2017
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
05D2128364
Lab name
Yong Tan, MD
Address
751 W Legion Rd Ste 102, Brawley, CA 92227
Phone
(760) 351-8696
Fax
(760) 545-0253

Annual test volume the lab reported

Waived tests
1,000

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

Other labs in Brawley, CA

Related

Questions

What is the CLIA number for Yong Tan, MD in Brawley?

05D2128364, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Yong Tan, MD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2128364 expire?

The CMS file lists March 28, 2027 as the certificate expiration date; the certificate took effect March 29, 2025.

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