CLIA lab
CLIA 05D2160452: Nanoom Medical Group
Walnut, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2160452 belongs to Nanoom Medical Group in Walnut, CA.
Certificate of Waiver, effective January 11, 2025, expires January 10, 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 11, 2025
- Certificate expiration
- January 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 11, 2019
- 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
- 05D2160452
- Lab name
- Nanoom Medical Group
- Address
- 20627 Golden Springs Dr., Suite D, Walnut, CA 91789
- Phone
- (909) 480-0200
- Fax
- (909) 480-0201
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- MT San Antonio Community CollegeCertificate for Provider-Performed Microscopy Procedures, School or student health service05D0867498
- Mary Chen, MD IncCertificate of Waiver, Physician office05D1059051
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- Multi Skilled Home Care Services IncCertificate of Waiver, Home health agency05D1007963
Related
Questions
What is the CLIA number for Nanoom Medical Group in Walnut?
05D2160452, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Nanoom Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2160452 expire?
The CMS file lists January 10, 2027 as the certificate expiration date; the certificate took effect January 11, 2025.