CLIA lab

CLIA 05D2133703: Romeo Samouh MD Inc

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

CLIA number 05D2133703 belongs to Romeo Samouh MD Inc in Upland, CA.

Certificate of Waiver, effective May 28, 2025, expires May 27, 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
May 28, 2025
Certificate expiration
May 27, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 18, 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
05D2133703
Lab name
Romeo Samouh MD Inc
Address
811 E 11th St Ste 102, Upland, CA 91786
Phone
(909) 360-8737
Fax
(909) 377-5302

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 Upland, CA

Related

Questions

What is the CLIA number for Romeo Samouh MD Inc in Upland?

05D2133703, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Romeo Samouh MD Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2133703 expire?

The CMS file lists May 27, 2027 as the certificate expiration date; the certificate took effect May 28, 2025.

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