CLIA lab
CLIA 05D2163028: DR Shameem Khan Optometrist Inc
Chino, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2163028 belongs to DR Shameem Khan Optometrist Inc in Chino, CA.
Certificate of Waiver, effective March 6, 2025, expires March 5, 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
- March 6, 2025
- Certificate expiration
- March 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 6, 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
- 05D2163028
- Lab name
- DR Shameem Khan Optometrist Inc
- Address
- 13768 Roswell Avenue, Suite 208, Chino, CA 91710
- Phone
- (909) 627-2020
- Fax
- (909) 627-2021
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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- Alpha Care Hospice Inc.Certificate of Waiver, Hospice05D2069100
- Angelicare Home Health IncCertificate of Waiver, Home health agency05D2003156
- Brio HospiceCertificate of Waiver, Hospice05D2024582
- California Institution for MenCertificate of Waiver, Prison05D0866355
- California Nursing Care Services IncCertificate of Waiver, Home health agency05D2029540
- Canyon Ridge HospitalCertificate of Waiver, Other05D0562196
- Carbon Health Medical Group of California, PCCertificate of Waiver, Physician office05D2270859
- Carehealth Medical Corporation DBA American FamilyCertificate of Waiver, Other05D2325713
Related
Questions
What is the CLIA number for DR Shameem Khan Optometrist Inc in Chino?
05D2163028, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does DR Shameem Khan Optometrist Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2163028 expire?
The CMS file lists March 5, 2027 as the certificate expiration date; the certificate took effect March 6, 2025.