CLIA lab
CLIA 05D2153189: Grand Medical Group Obgyn
Hacienda Heights, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2153189 belongs to Grand Medical Group Obgyn in Hacienda Heights, CA.
Certificate of Waiver, effective August 23, 2026, expires August 22, 2028.
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
- August 23, 2026
- Certificate expiration
- August 22, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 23, 2018
- 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
- 05D2153189
- Lab name
- Grand Medical Group Obgyn
- Address
- 1850 S. Azusa Avenue Suite 208, Hacienda Heights, CA 91745
- Phone
- (909) 896-3911
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Grand Medical Group Obgyn in Hacienda Heights?
05D2153189, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Grand Medical Group Obgyn hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2153189 expire?
The CMS file lists August 22, 2028 as the certificate expiration date; the certificate took effect August 23, 2026.