CLIA lab

CLIA 05D2133499: Roy Nini MD, Inc

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

CLIA number 05D2133499 belongs to Roy Nini MD, Inc in Fullerton, CA.

Certificate of Waiver, effective July 13, 2025, expires July 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

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
July 13, 2025
Certificate expiration
July 12, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 13, 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
05D2133499
Lab name
Roy Nini MD, Inc
Address
16311 Ventura Blvd Ste 1280, Fullerton, CA 92835
Phone
(855) 906-7246
Fax
(866) 234-7246

Annual test volume the lab reported

Waived tests
960

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

Other labs in Fullerton, CA

Related

Questions

What is the CLIA number for Roy Nini MD, Inc in Fullerton?

05D2133499, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Roy Nini MD, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2133499 expire?

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

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