CLIA lab

CLIA 05D2169664: Faculty Physicians & Surgeons

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

CLIA number 05D2169664 belongs to Faculty Physicians & Surgeons in Redlands, CA.

Certificate for Provider-Performed Microscopy Procedures, 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 for Provider-Performed Microscopy Procedures
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)
Religious affiliation
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
05D2169664
Lab name
Faculty Physicians & Surgeons
Additional name
Of Llusm Primary Care RB
Address
25828 Redlands Blvd Suite 102, Redlands, CA 92373
Phone
(909) 558-6640
Fax
(909) 558-6656

Annual test volume the lab reported

Waived tests
3,000
Provider-performed microscopy tests
1,000
Total
4,000

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 Faculty Physicians & Surgeons in Redlands?

05D2169664, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Faculty Physicians & Surgeons hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 05D2169664 expire?

The CMS file lists July 23, 2027 as the certificate expiration date; the certificate took effect July 24, 2025.

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