CLIA lab
CLIA 05D2169648: Victor Gonzalez Carabello MD
East Los Angeles, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2169648 belongs to Victor Gonzalez Carabello MD in East Los Angeles, CA.
Certificate of Waiver, effective July 24, 2025, expires July 23, 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
- July 24, 2025
- Certificate expiration
- July 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 24, 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
- 05D2169648
- Lab name
- Victor Gonzalez Carabello MD
- Address
- 605 N Mednik Ave, East Los Angeles, CA 90022
- Phone
- (323) 526-2880
- Fax
- (323) 526-2885
Annual test volume the lab reported
- Waived tests
- 600
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 Victor Gonzalez Carabello MD in East Los Angeles?
05D2169648, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Victor Gonzalez Carabello MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2169648 expire?
The CMS file lists July 23, 2027 as the certificate expiration date; the certificate took effect July 24, 2025.