CLIA lab

CLIA 05D2160409: R Ruiz MD A Professional Corporation

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

CLIA number 05D2160409 belongs to R Ruiz MD A Professional Corporation in Montebello, CA.

Certificate of Waiver, effective January 10, 2025, expires January 9, 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
January 10, 2025
Certificate expiration
January 9, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 10, 2019
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D2160409
Lab name
R Ruiz MD A Professional Corporation
Address
833 W. Whittier Blvd, Montebello, CA 90640
Phone
(323) 712-4811
Fax
(844) 302-8678

Annual test volume the lab reported

Waived tests
715

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

Affiliated CLIA numbers

Other labs in Montebello, CA

Related

Questions

What is the CLIA number for R Ruiz MD A Professional Corporation in Montebello?

05D2160409, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does R Ruiz MD A Professional Corporation hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2160409 expire?

The CMS file lists January 9, 2027 as the certificate expiration date; the certificate took effect January 10, 2025.

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